Provider Demographics
NPI:1811512866
Name:ANKLE & FOOT CARE CENTER INC
Entity type:Organization
Organization Name:ANKLE & FOOT CARE CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MOHAMMED
Authorized Official - Middle Name:KAMRUL
Authorized Official - Last Name:HASSAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:562-399-5252
Mailing Address - Street 1:15141 WHITTIER BLVD STE 330
Mailing Address - Street 2:
Mailing Address - City:WHITTIER
Mailing Address - State:CA
Mailing Address - Zip Code:90603-2168
Mailing Address - Country:US
Mailing Address - Phone:323-892-6467
Mailing Address - Fax:
Practice Address - Street 1:15141 WHITTIER BLVD STE 330
Practice Address - Street 2:
Practice Address - City:WHITTIER
Practice Address - State:CA
Practice Address - Zip Code:90603-2168
Practice Address - Country:US
Practice Address - Phone:323-892-6467
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-15
Last Update Date:2024-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty