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Organization
UNIVERSITY FOOT AND ANKLE INSTITUTE A PODIATRIC SURGICAL CENTER
Active
Organization
UNIVERSITY FOOT AND ANKLE INSTITUTE A PODIATRIC SURGICAL CENTER
Active
Other names
University Foot & Ankle Institute
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALEX REYZELMAN DPM (RCMO)
(510) 581-1484
Entity
Organization
Contact information
Practice address
2121 WILSHIRE BLVD, SUITE 101, SANTA MONICA, CA 90403
(310) 828-0011
(310) 828-2001
Mailing address
2121 WILSHIRE BLVD, SUITE 101, SANTA MONICA, CA 90403
(310) 828-0011
(310) 828-2001
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E4186
CA
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00054144
MEDICARE RAILROAD
CA
Enumeration date
08/24/2006
Last updated
05/21/2024
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