Organization
SOCAL FOOT CARE PC
Active
Parent organization
SOCAL FOOT CARE PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOCAL FOOT CARE PC
Authorized official
ALEXANDER REYZELMAN DPM (RCMO)
(415) 292-0638
Entity
Organization
Contact information
Practice address
3424 1ST AVE, SAN DIEGO, CA 92103-4802
(619) 295-9494
(619) 295-9714
Mailing address
3424 1ST AVE, SAN DIEGO, CA 92103-4802
(619) 295-9494
(619) 295-9714
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
09/19/2024
Last updated
09/19/2024
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