NPIMap

Organization Active NPI

Yosef Freedland a Professional Podiatric Corporation

Doing business as Laser Foot Clinic

  • Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1033245691
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
E2962 Issued in CA
Legal business name
YOSEF FREEDLAND A PROFESSIONAL PODIATRIC CORPORATION
Doing business as
Laser Foot Clinic
Practice address
8215 Beverly Blvd
Los Angeles, CA 90048-4505
Phone
(323) 655-3668
Fax
(323) 655-3819
NPI assigned
Feb 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Rachel N Freedland, DPMNPI 1699801746
Title
Vice President
Phone
(323) 655-3668

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X E2962 CA Primary

Addresses

Primary practice location

8215 Beverly Blvd
Los Angeles, CA 90048-4505

Mailing address

8215 Beverly Blvd
Los Angeles, CA 90048-4505
Phone (323) 655-3668

Other identifiers 3

IdentifierTypeStateIssuer
ZZZ19309ZOtherCABLUE SHIELD
000E29620MedicaidCA
0298310001OtherCADMERC

Other names 1

  • Laser Foot Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

8215 Beverly Blvd
Los Angeles, CA 90048
Phone (323) 655-3668

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1033245691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8215 BEVERLY BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900484505",
            "telephone_number": "323-655-3668",
            "fax_number": "323-655-3819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8215 BEVERLY BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900484505",
            "telephone_number": "323-655-3668",
            "fax_number": "323-655-3819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOSEF FREEDLAND A PROFESSIONAL PODIATRIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FREEDLAND",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "323-655-3668",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "E2962",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ19309Z",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000E29620",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC",
            "identifier": "0298310001",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laser Foot Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.