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Organization
CUPERTINO PODIATRY INC.
Active
Organization
CUPERTINO PODIATRY INC.
Active
Parent organization
PNC MANAGEMENT LLC
Other names
Cupertino Podiatry, Inc
Organization subpart
Yes
Provider details
NPI number
Legal business name
PNC MANAGEMENT LLC
Authorized official
DR. ALEXANDER REYZELMAN DPM (CMO)
(415) 292-0638
Entity
Organization
Contact information
Practice address
10353 TORRE AVE, SUITE C, CUPERTINO, CA 95014-3217
(408) 446-5811
(408) 996-1637
Mailing address
15100 LOS GATOS BLVD STE 4, LOS GATOS, CA 95032-2028
(408) 358-6234
(408) 358-3389
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E4260
CA
Other
Enumeration date
08/17/2009
Last updated
08/10/2021
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