Organization
FOOT AND ANKLE SPECIALIST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GENNADY KOLODENKER DPM (OWNER)
(949) 651-1202
Entity
Organization
Contact information
Practice address
16405 SAND CANYON AVE STE 270, IRVINE, CA 92618-3792
(949) 651-1202
Mailing address
16405 SAND CANYON AVE STE 270, IRVINE, CA 92618-3792
(949) 651-1202
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E4880
CA
Other
Enumeration date
01/23/2011
Last updated
06/24/2022
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