Provider Demographics
NPI:1265991699
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:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JONES
Authorized Official - Middle Name:
Authorized Official - Last Name:HORMOZI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-216-5554
Mailing Address - Street 1:44725 10TH ST W STE 130
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:CA
Mailing Address - Zip Code:93534-3051
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:44725 10TH ST W STE 130
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:CA
Practice Address - Zip Code:93534-3051
Practice Address - Country:US
Practice Address - Phone:818-981-1900
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:VALLEY FOOT & ANKLE CENTER INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-03-15
Last Update Date:2019-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Multi-Specialty
No332B00000XSuppliersDurable Medical Equipment & Medical SuppliesGroup - Multi-Specialty