Organization
PERFORMANCE FOOT & ANKLE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HERAJ PATEL DPM (PRESIDENT)
(805) 273-1415
Entity
Organization
Contact information
Practice address
3095 OLD CONEJO RD STE 100, NEWBURY PARK, CA 91320-2130
(805) 273-1415
Mailing address
3095 OLD CONEJO RD STE 100, NEWBURY PARK, CA 91320-2130
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E5139
CA
Other
Enumeration date
11/08/2017
Last updated
12/13/2017
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