Provider Demographics
NPI:1770841389
Name:VALLEY FOOT & ANKLE CENTER INC.
Entity Type:Organization
Organization Name:VALLEY FOOT & ANKLE CENTER INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JONES
Authorized Official - Middle Name:
Authorized Official - Last Name:HORMOZI
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:818-918-1900
Mailing Address - Street 1:17412 VENTURA BLVD STE 31
Mailing Address - Street 2:
Mailing Address - City:ENCINO
Mailing Address - State:CA
Mailing Address - Zip Code:91316-3827
Mailing Address - Country:US
Mailing Address - Phone:818-981-1900
Mailing Address - Fax:866-254-5997
Practice Address - Street 1:18840 VENTURA BLVD STE 211
Practice Address - Street 2:
Practice Address - City:TARZANA
Practice Address - State:CA
Practice Address - Zip Code:91356
Practice Address - Country:US
Practice Address - Phone:818-981-1900
Practice Address - Fax:866-254-5997
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-02
Last Update Date:2019-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAE4856213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty