# ARTISAN FOOT AND ANKLE PODIATRIC SPECIALISTS INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ARTISAN FOOT AND ANKLE PODIATRIC SPECIALISTS INC
- **Other names:** Artisan Foot And Ankle Podiatric Specialists, Inc
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1558192823
- **Legal business name:** ARTISAN FOOT AND ANKLE PODIATRIC SPECIALISTS INC
- **Authorized official:** ALEXANDER REYZELMAN DPM (CMO)
- **Authorized official phone:** (415) 292-0638

## Contact information

- **Practice address:** 655 CAMINO DE LOS MARES STE 120, SAN CLEMENTE, CA 92673-2809
- **Practice address phone:** (949) 493-0777
- **Practice address fax:** (949) 831-4009
- **Mailing address:** PO BOX 843263, LOS ANGELES, CA 90084-3263
- **Mailing address phone:** (847) 627-4920
- **Mailing address fax:** (224) 220-9743

## 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:** 08/09/2024
- **Last updated:** 01/27/2026