Organization
BAY AREA FOOT CARE, INC
Active
Parent organization
BAY AREA FOOT CARE, INC
Other names
Bay Area Foot Care, Bay Area Foot Care INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
BAY AREA FOOT CARE, INC
Authorized official
ALEXANDER REYZELMAN DPM (CHIEF REGIONAL MEDICAL OFFICER)
(415) 292-0638
Entity
Organization
Contact information
Practice address
400 CARLTON AVE STE 200, LOS GATOS, CA 95032-2629
(408) 358-6234
(408) 358-3389
Mailing address
20130 LAKE CHABOT RD STE 202, CASTRO VALLEY, CA 94546-5340
(510) 581-1484
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6186880019
MEDICARE DME
CA
Enumeration date
12/07/2022
Last updated
07/01/2024
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