# SOCAL FOOT CARE PC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SOCAL FOOT CARE PC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1124997259
- **Legal business name:** SOCAL FOOT CARE PC
- **Authorized official:** ALEXANDER REYZELMAN (CMO)
- **Authorized official phone:** (415) 292-0638

## Contact information

- **Practice address:** 5565 GROSSMONT CENTER DR STE 152, LA MESA, CA 91942-3075
- **Practice address phone:** (619) 440-2202
- **Practice address fax:** (619) 440-0502
- **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:** 11/05/2025
- **Last updated:** 11/05/2025