Provider Demographics
NPI:1780331348
Name:BEST PODIATRY ON BRAND
Entity type:Organization
Organization Name:BEST PODIATRY ON BRAND
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:BENJAMIN
Authorized Official - Middle Name:
Authorized Official - Last Name:TEHRANI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:818-240-0006
Mailing Address - Street 1:319 S BRAND BLVD
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91204-1701
Mailing Address - Country:US
Mailing Address - Phone:818-240-0006
Mailing Address - Fax:818-240-0038
Practice Address - Street 1:319 S BRAND BLVD
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91204-1701
Practice Address - Country:US
Practice Address - Phone:818-240-0006
Practice Address - Fax:818-240-0038
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BEST PODIATRY ON BRAND
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-03-03
Last Update Date:2022-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric MedicineGroup - Single Specialty