# SOCAL FOOT CARE PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SOCAL FOOT CARE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023723913
- **Authorized official:** ALEXANDER REYZELMAN DPM (RCMO)
- **Authorized official phone:** (415) 292-0638

## Contact information

- **Practice address:** 9850 GENESEE AVE STE 510, LA JOLLA, CA 92037-1213
- **Practice address phone:** (510) 399-0221
- **Mailing address:** PO BOX 34869, BELFAST, ME 04915-0626
- **Mailing address phone:** (858) 450-9218
- **Mailing address fax:** (858) 450-3296

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213E00000X | Podiatrist | — | NULL | — |
| 213E00000X | Podiatrist | — | — | — |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NULL | Yes |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | — | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |

## Other

- **Enumeration date:** 01/16/2023
- **Last updated:** 06/19/2024