# FOOT AND ANKLE SPECIALIST

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053616086
- **Authorized official:** DR. GENNADY KOLODENKER DPM (OWNER)
- **Authorized official phone:** (949) 651-1202

## Contact information

- **Practice address:** 16405 SAND CANYON AVE STE 270, IRVINE, CA 92618-3792
- **Practice address phone:** (949) 651-1202
- **Mailing address:** 16405 SAND CANYON AVE STE 270, IRVINE, CA 92618-3792
- **Mailing address phone:** (949) 651-1202

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | E4880 | CA | Yes |

## Other

- **Enumeration date:** 01/23/2011
- **Last updated:** 06/24/2022