Organization
WEST COAST FOOT AND ANKLE INSTITUTE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEKSANDER VALENTINOVICH LAVRENOV D.P.M. (PRESIDENT)
(917) 687-7528
Entity
Organization
Contact information
Practice address
20548 VENTURA BLVD APT 217, WOODLAND HILLS, CA 91364-6470
(917) 687-7528
Mailing address
20548 VENTURA BLVD APT 217, WOODLAND HILLS, CA 91364-6470
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E5019
CA
Other
Enumeration date
11/26/2014
Last updated
11/26/2014
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