OrganizationActive
Foot and Ankle Wellness Clinic
NPI 1154588556 · Foot Surgery Podiatrist · Glendale, CA
Provider details
- NPI number
- 1154588556
- Entity type
- Organization
- Primary specialty
- Foot Surgery PodiatristPodiatric Medicine & Surgery Service Providers
- Organization subpart
- No
- Authorized official
- Suzanne Mancherian, President(323) 937-6903
- License
- E4429 (CA)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Practice location
1030 S Glendale Ave
Suite 504
Glendale, CA 91205
Phone: (818) 240-7673
Fax: (323) 937-2035
Approximate (ZIP-level) locationGet directions
Mailing address
6200 Wilshire Blvd Ste 1712
Los Angeles, CA 90048-5818
Additional practice locations (1)
- 6200 Wilshire Blvd Ste 1712Los Angeles, CA 90048-5818Phone: (323) 937-6903Fax: (323) 210-7171
Registry dates
- Enumerated
- 2008-05-22
- Last updated
- 2018-06-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.