# PACIFIC FOOT & ANKLE CENTER A PODIATRY CORPORATION

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

## Provider details

- **NPI number:** 1780623173
- **Authorized official:** DR. DAVID PETERSEN DPM (OWNER PRESIDENT)
- **Authorized official phone:** (949) 855-1177

## Contact information

- **Practice address:** 24191 PASEO DE VALENCIA, SUITE E, LAGUNA WOODS, CA 92637-3167
- **Practice address phone:** (949) 855-1177
- **Practice address fax:** (949) 855-6939
- **Mailing address:** 24191 PASEO DE VALENCIA STE E, LAGUNA WOODS, CA 92637-3135
- **Mailing address phone:** (949) 855-1177
- **Mailing address fax:** (949) 855-6939

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | E4310 | CA | Yes |

## Other

- **Enumeration date:** 06/04/2006
- **Last updated:** 07/06/2026