# ORANGE COUNTY FOOT & ANKLE GROUP, INC.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1396929774
- **Authorized official:** MR. JONATHAN IAN BENNETT DPM (PRESIDENT)
- **Authorized official phone:** (714) 832-0271

## Contact information

- **Practice address:** 17400 IRVINE BLVD, SUITE J, TUSTIN, CA 92780-3030
- **Practice address phone:** (714) 832-0271
- **Practice address fax:** (714) 832-0272
- **Mailing address:** 17400 IRVINE BLVD, SUITE J, TUSTIN, CA 92780-3030
- **Mailing address phone:** (714) 832-0271
- **Mailing address fax:** (714) 832-0272

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | E4301 | CA | Yes |

## Other

- **Enumeration date:** 12/21/2007
- **Last updated:** 12/21/2007