# PERFORMANCE FOOT & ANKLE INC

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

## Provider details

- **NPI number:** 1912410234
- **Authorized official:** DR. HERAJ PATEL DPM (PRESIDENT)
- **Authorized official phone:** (805) 273-1415

## Contact information

- **Practice address:** 3095 OLD CONEJO RD STE 100, NEWBURY PARK, CA 91320-2130
- **Practice address phone:** (805) 273-1415
- **Mailing address:** 3095 OLD CONEJO RD STE 100, NEWBURY PARK, CA 91320-2130

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | E5139 | CA | Yes |

## Other

- **Enumeration date:** 11/08/2017
- **Last updated:** 12/13/2017