# SOCAL FOOT CARE PC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SOCAL FOOT CARE PC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1972330280
- **Legal business name:** SOCAL FOOT CARE PC
- **Authorized official:** ALEXANDER REYZELMAN DPM (RCMO)
- **Authorized official phone:** (415) 292-0638

## Contact information

- **Practice address:** 3424 1ST AVE, SAN DIEGO, CA 92103-4802
- **Practice address phone:** (619) 295-9494
- **Practice address fax:** (619) 295-9714
- **Mailing address:** 3424 1ST AVE, SAN DIEGO, CA 92103-4802
- **Mailing address phone:** (619) 295-9494
- **Mailing address fax:** (619) 295-9714

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NULL | Yes |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | — | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |

## Other

- **Enumeration date:** 09/19/2024
- **Last updated:** 09/19/2024