IndividualActive
Julia Souvorova, D.P.M.
NPI 1114361029 · Foot Surgery Podiatrist · San Diego, CA
Provider details
- NPI number
- 1114361029
- Entity type
- Individual
- Primary specialty
- Foot Surgery PodiatristPodiatric Medicine & Surgery Service Providers
- Credential
- D.P.M.
- Sex
- Female
- Sole proprietor
- Yes
- License
- 5305 (CA)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Practice location
7067 Camino Revueltos Unit 314
San Diego, CA 92111-7695
Phone: (310) 625-7188
Approximate (ZIP-level) locationGet directions
Mailing address
7067 Camino Revueltos Unit 314
San Diego, CA 92111-7695
Registry dates
- Enumerated
- 2013-04-22
- Last updated
- 2026-02-04
- Certified
- 2026-02-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.