Provider Demographics
NPI:1487246906
Name:NEDA ARJOMANDI PODIATRY INC
Entity type:Organization
Organization Name:NEDA ARJOMANDI PODIATRY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NEDA
Authorized Official - Middle Name:
Authorized Official - Last Name:ARJOMANDI
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:703-505-5981
Mailing Address - Street 1:24022 CALLE DE LA PLATA STE 410
Mailing Address - Street 2:
Mailing Address - City:LAGUNA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:92653-3629
Mailing Address - Country:US
Mailing Address - Phone:949-581-2520
Mailing Address - Fax:949-581-7467
Practice Address - Street 1:24022 CALLE DE LA PLATA STE 410
Practice Address - Street 2:
Practice Address - City:LAGUNA HILLS
Practice Address - State:CA
Practice Address - Zip Code:92653-3629
Practice Address - Country:US
Practice Address - Phone:949-581-2520
Practice Address - Fax:949-581-7467
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-05
Last Update Date:2021-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP1100XAmbulatory Health Care FacilitiesClinic/CenterPodiatric