Providence Foot and Ankle Center
NPI #1851522254 in Los Angeles, California
Provider Information
- NPI Number
- 1851522254
- Entity Type
- Organization
- Organization Name
- Providence Foot and Ankle Center
- Primary Specialty
- Clinic/Center - Podiatric
- Enumeration Date
- Aug 3, 2009
- Last Updated
- Mar 28, 2020
Practice Location
- Address
- 3130 W OLYMPIC BLVD
- Address 2
- SUITE 170
- City
- Los Angeles
- State
- California
- ZIP Code
- 90006-2484
- Phone
- (323) 732-7551
Authorized Official
- Name
- DR. PETER SANG-WOOK PARK, DPM
- Title
- PODIATRIST/CEO
- Phone
- (323) 732-7551
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Podiatric — Podiatric |
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