Organization
UNIVERSITY FOOT AND ANKLE INSTITUTE A PODIATRIC SURGICAL CENTER
Active
Parent organization
UNIVERSITY FOOT AND ANKLE INSTITUTE A PODIATRIC SURGICAL CENTER
Other names
University Foot & Ankle Institute
Organization subpart
Yes
Provider details
NPI number
Legal business name
UNIVERSITY FOOT AND ANKLE INSTITUTE A PODIATRIC SURGICAL CENTER
Authorized official
ALEXANDER REYZELMAN DPM (CRMO)
(415) 292-0638
Entity
Organization
Contact information
Practice address
1360 W 6TH ST STE 240, SAN PEDRO, CA 90732-3589
(310) 548-3311
(310) 791-3311
Mailing address
1660 FEEHANVILLE DR STE 450, MOUNT PROSPECT, IL 60056-6023
(847) 627-4920
(224) 220-9743
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
06/18/2024
Last updated
06/18/2024
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