OrganizationActive
Access Wound Care and Podiatry Care Clinic
NPI 1679714166 · Podiatrist · Glendale, CA
Provider details
- NPI number
- 1679714166
- Entity type
- Organization
- Primary specialty
- PodiatristPodiatric Medicine & Surgery Service Providers
- Organization subpart
- No
- Authorized official
- Charles Blaine, DPM(800) 480-3338
- License
- E3817 (CA)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Practice location
1510 S Central Ave
Suite 120
Glendale, CA 91204-2500
Phone: (800) 480-3338
Fax: (818) 790-3121
Approximate (ZIP-level) locationGet directions
Mailing address
1510 S. Central Ave
Glendale, CA 91204
Registry dates
- Enumerated
- 2009-03-13
- Last updated
- 2009-03-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.