# UNIVERSITY FOOT AND ANKLE INSTITUTE A PODIATRIC SURGICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** UNIVERSITY FOOT AND ANKLE INSTITUTE A PODIATRIC SURGICAL CENTER
- **Other names:** University Foot & Ankle Institute
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1003986746
- **Legal business name:** UNIVERSITY FOOT AND ANKLE INSTITUTE A PODIATRIC SURGICAL CENTER
- **Authorized official:** ALEXANDER REYZELMAN DPM (CRMO)
- **Authorized official phone:** (415) 292-0638

## Contact information

- **Practice address:** 27421 TOURNEY RD STE 200, VALENCIA, CA 91355-5646
- **Practice address phone:** (310) 828-0011
- **Practice address fax:** (310) 828-2001
- **Mailing address:** 1660 FEEHANVILLE DR STE 450, MOUNT PROSPECT, IL 60056-6023
- **Mailing address phone:** (847) 627-4920

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NULL | Yes |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | — | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |

## Other

- **Enumeration date:** 11/09/2006
- **Last updated:** 06/19/2024