Provider Demographics
NPI:1376935163
Name:QARMON PC
Entity Type:Organization
Organization Name:QARMON PC
Other - Org Name:CALIFORNIA FOOT AND ANKLE CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SAHAND
Authorized Official - Middle Name:
Authorized Official - Last Name:GOLSHAN-KHALILI
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:626-298-0707
Mailing Address - Street 1:280 S LEMON AVE #210
Mailing Address - Street 2:
Mailing Address - City:WALNUT
Mailing Address - State:CA
Mailing Address - Zip Code:91788-2685
Mailing Address - Country:US
Mailing Address - Phone:951-405-8500
Mailing Address - Fax:951-405-8500
Practice Address - Street 1:4843 ARLINGTON AVE
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92504-2760
Practice Address - Country:US
Practice Address - Phone:951-405-8500
Practice Address - Fax:951-405-8555
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-03
Last Update Date:2023-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
213ES0103X
CAE5163261QP1100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty
No261QP1100XAmbulatory Health Care FacilitiesClinic/CenterPodiatricGroup - Single Specialty