Individual provider · Type 1 NPI
Gennady Kolodenker, DPM
Foot & Ankle Surgery Podiatrist · Irvine, CA
NPI number
1659516151
Active
Practice location
16405 Sand Canyon Ave, Suite 270
Irvine, CA 92618-3785
Fax (949) 552-9493
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | E4880 (CA) |
| Sports Medicine Podiatrist | 213ES0000X | E4880 (CA) |
Foot & Ankle Surgery Podiatrist: Definition to come...
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- Brandon Hirata, DPMFoot & Ankle Surgery Podiatrist Irvine, CA NPI 1306541289
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About NPI 1659516151
Gennady Kolodenker, DPM's National Provider Identifier is 1659516151, issued on Dec 11, 2008. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Irvine, CA. The record was last updated on Feb 15, 2017.