OrganizationActive
Foot and Ankle Wellness Clinic
NPI 1235313123 · Foot Surgery Podiatrist · Los Angeles, CA
Provider details
- NPI number
- 1235313123
- 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
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
6310 San Vicente Blvd Ste 220
Los Angeles, CA 90048-5458
Phone: (323) 937-6903
Fax: (323) 210-7171
Street-level locationGet directions
Mailing address
6310 San Vicente Blvd Ste 220
Los Angeles, CA 90048-5458
Registry dates
- Enumerated
- 2007-12-27
- Last updated
- 2021-09-02
- Certified
- 2021-09-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.