Provider Demographics
NPI:1104027424
Name:SARMONT PODIATRY, INC.
Entity Type:Organization
Organization Name:SARMONT PODIATRY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MELINEH
Authorized Official - Middle Name:
Authorized Official - Last Name:ASLANIAN
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:818-500-0267
Mailing Address - Street 1:125 E GLENOAKS BLVD STE 104
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91207-2132
Mailing Address - Country:US
Mailing Address - Phone:818-500-0267
Mailing Address - Fax:818-500-0278
Practice Address - Street 1:125 E GLENOAKS BLVD STE 104
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91207-2132
Practice Address - Country:US
Practice Address - Phone:818-500-0267
Practice Address - Fax:818-500-0278
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-31
Last Update Date:2015-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAE3994213EP1101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA000E39940Medicaid
CA=========OtherPACIFICARE
CA=========OtherDEFINITY HEALTH
CA=========OtherDELTA HEALTH SYSTEMS
CA=========OtherCBCA ADMINISTRATORS, INC
CA000E39940Medicaid
CA=========OtherBLUE CROSS OF CA
CA=========OtherCIGNA
CA=========OtherUNITED HEALTHCARE
CA=========OtherHEALTH NET
CA=========OtherTRICARE
CA=========OtherELCA HEALTH PLAN
CA=========OtherPHYSICIAN ASSOCIATES
CA=========OtherAETNA
CA=========OtherUHP HEALTHCARE
CA=========OtherAARP
CA=========OtherREGAL MEDICAL GROUP
CA=========OtherPACIFICARE
CA=========OtherUNITED HEALTHCARE
CA=========OtherCBCA ADMINISTRATORS, INC