Organization
SOCAL FOOT CARE PC
Active
Other names
SOCAL FOOT CARE
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDER REYZELMAN DPM (RCMO)
(415) 292-0638
Entity
Organization
Contact information
Practice address
9850 GENESEE AVE STE 510, LA JOLLA, CA 92037-1213
(510) 399-0221
Mailing address
PO BOX 34869, BELFAST, ME 04915-0626
(858) 450-9218
(858) 450-3296
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
01/16/2023
Last updated
06/19/2024
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