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Organization
PACIFIC FOOT & ANKLE CENTER A PODIATRY CORPORATION
Active
Organization
PACIFIC FOOT & ANKLE CENTER A PODIATRY CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID PETERSEN DPM (OWNER PRESIDENT)
(949) 855-1177
Entity
Organization
Contact information
Practice address
24191 PASEO DE VALENCIA, SUITE E, LAGUNA WOODS, CA 92637-3167
(949) 855-1177
(949) 855-6939
Mailing address
24191 PASEO DE VALENCIA STE E, LAGUNA WOODS, CA 92637-3135
(949) 855-1177
(949) 855-6939
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E4310
CA
Other
Enumeration date
06/04/2006
Last updated
07/06/2026
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