Organization · Type 2 NPI

University Foot and Ankle Institute A Podiatric Surgical Center

Foot & Ankle Surgery Podiatrist · San Pedro, CA

NPI number 1497598346 Active

Practice location

1360 W 6th St Ste 240
San Pedro, CA 90732-3589

Call (310) 548-3311 Map

Fax (310) 791-3311

Mailing address

1660 Feehanville Dr Ste 450
Mount Prospect, IL 60056-6023

Specialties and licenses

Taxonomy	Code	License
Foot & Ankle Surgery Podiatrist Primary	213ES0103X	None listed
Durable Medical Equipment & Medical Supplies	332B00000X	None listed

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

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NPI record

NPI: 1497598346
Entity type: Organization (Type 2)
Issued: Jun 18, 2024
Last updated: Jun 18, 2024
Status: Active
Subpart: Yes of University Foot and Ankle Institute A Podiatric Surgical Center

Other names

University Foot & Ankle Institute · doing business as

Authorized official

Alexander Reyzelman, DPM
Crmo
(415) 292-0638

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1497598346

University Foot and Ankle Institute A Podiatric Surgical Center's National Provider Identifier is 1497598346, issued on Jun 18, 2024. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in San Pedro, CA. The record was last updated on Jun 18, 2024.