Provider Demographics
NPI:1215219183
Name:TOWER FOOT & ANKLE SURGERY, INC
Entity Type:Organization
Organization Name:TOWER FOOT & ANKLE SURGERY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KAMRAN
Authorized Official - Middle Name:
Authorized Official - Last Name:JAMSHIDINIA
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:805-390-0746
Mailing Address - Street 1:P.O. BOX 16600
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90209
Mailing Address - Country:US
Mailing Address - Phone:805-390-0746
Mailing Address - Fax:310-247-9240
Practice Address - Street 1:2080 CENTURY PARK E
Practice Address - Street 2:SUITE 1508
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90067-2001
Practice Address - Country:US
Practice Address - Phone:310-247-9255
Practice Address - Fax:310-247-9240
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-15
Last Update Date:2012-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAE4331213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty