Organization
GLENDALE FOOT AND ANKLE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEKSANDER LAVRENOV DPM (CEO)
(917) 687-7528
Entity
Organization
Contact information
Practice address
26235 RAVENHILL RD, SANTA CLARITA, CA 91387-4046
(917) 687-7528
Mailing address
26235 RAVENHILL RD, SANTA CLARITA, CA 91387-4046
(917) 687-7528
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Enumeration date
03/13/2025
Last updated
03/14/2025
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