Organization · Type 2 NPI

Central California Leg, Foot, and Ankle Center, Inc.

Foot & Ankle Surgery Podiatrist · Lake Forest, CA

NPI number 1417579129 Active

Practice location

27462 Portola Pkwy Ste 100
Lake Forest, CA 92610-2838

Mailing address

217 Regal
Irvine, CA 92620-3542

Specialties and licenses

TaxonomyCodeLicense
Foot & Ankle Surgery Podiatrist Primary 213ES0103XNone listed

Foot & Ankle Surgery Podiatrist: Definition to come...

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About NPI 1417579129

Central California Leg, Foot, and Ankle Center, Inc.'s National Provider Identifier is 1417579129, issued on May 15, 2020. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Lake Forest, CA. The record was last updated on Oct 1, 2021.