Organization
ALIGN FOOT AND ANKLE CENTER INC A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HAI-EN PENG DPM (OWNER)
(805) 482-0711
Entity
Organization
Contact information
Practice address
14 E ARRELLAGA ST, SANTA BARBARA, CA 93101-2502
(805) 965-1515
(805) 482-6524
Mailing address
2460 N PONDEROSA DR STE A105, CAMARILLO, CA 93010-2375
(805) 482-0711
(805) 482-6524
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
261QP1100X
Podiatric Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
E4368
MEDICAL LICENSE
CA
Enumeration date
10/15/2020
Last updated
10/15/2020
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