Organization
PNC PODIATRY OF SOUTHERN CALIFORNIA PC
Active
Other names
University Foot & Ankle Institute
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDER M REYZELMAN DPM (CMO)
(415) 292-0638
Entity
Organization
Contact information
Practice address
2121 WILSHIRE BLVD STE 101, SANTA MONICA, CA 90403-5742
(310) 828-0011
(310) 828-2001
Mailing address
PO BOX 31502, BELFAST, ME 04915-0168
(310) 828-0011
(310) 828-2001
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
213ES0131X
Foot Surgery Podiatrist
—
—
Other
Enumeration date
02/08/2024
Last updated
02/08/2024
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