Organization
CENTRAL CALIFORNIA LEG, FOOT, AND ANKLE CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALI GHORBANIFARAJZADEH DPM (PRESIDENT)
(305) 310-8155
Entity
Organization
Contact information
Practice address
27462 PORTOLA PKWY STE 100, LAKE FOREST, CA 92610-2838
(949) 468-2525
Mailing address
217 REGAL, IRVINE, CA 92620-3542
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Enumeration date
05/15/2020
Last updated
10/01/2021
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