Provider Demographics
NPI:1891189551
Name:ARLETA FOOT CARE, INC.
Entity type:Organization
Organization Name:ARLETA FOOT CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ABID
Authorized Official - Middle Name:NAZIR
Authorized Official - Last Name:CHAUDHRY
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:818-892-3196
Mailing Address - Street 1:9068 WOODMAN AVE.
Mailing Address - Street 2:
Mailing Address - City:ARLETA
Mailing Address - State:CA
Mailing Address - Zip Code:91331-6403
Mailing Address - Country:US
Mailing Address - Phone:818-892-3196
Mailing Address - Fax:818-830-6700
Practice Address - Street 1:9068 WOODMAN AVE
Practice Address - Street 2:
Practice Address - City:ARLETA
Practice Address - State:CA
Practice Address - Zip Code:91331-6403
Practice Address - Country:US
Practice Address - Phone:818-892-3196
Practice Address - Fax:818-830-6700
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-20
Last Update Date:2015-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAE4089213EP1101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA000E40890Medicaid
CAU67236Medicare UPIN
CAE4089Medicare PIN