Active NPIOrganization

Pnc Podiatry Of Southern California PC

Podiatrist in Santa Monica, California

NPI Number1477317667
Practice location
2121 Wilshire Blvd Ste 101, Santa Monica, CA 90403-5742
Fax
310-828-2001
Last updated
February 8, 2024

Pnc Podiatry Of Southern California PC is a healthcare organization based in Santa Monica, CA. Pnc Podiatry Of Southern California PC practices in Santa Monica, CA. The NPI Number for Pnc Podiatry Of Southern California PC is 1477317667. The current practice location address for Pnc Podiatry Of Southern California PC is 2121 Wilshire Blvd Ste 101, Santa Monica, CA 90403-5742 and can be reached out via phone at 310-828-0011 and via fax at 310-828-2001.

Provider Profile Details

NPI Number
1477317667
Provider Name
Pnc Podiatry Of Southern California PC
Provider Entity Type
Organization
Address
2121 Wilshire Blvd Ste 101, Santa Monica, CA 90403-5742
Phone Number
310-828-0011
Fax Number
310-828-2001
Primary Taxonomy
Podiatrist · 213E00000X
Organization Subpart
No
Authorized Official
Alexander M Reyzelman, DPM · Cmo · 415-292-0638
Other Names
University Foot & Ankle Institute (Doing Business As)
Provider Enumeration Date
February 8, 2024
Last Update Date
February 8, 2024
Certification Date
February 8, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
2121 Wilshire Blvd Ste 101
Santa Monica, CA 90403-5742
Zip
90403-5742
Phone Number
310-828-0011
Fax Number
310-828-2001
Santa Monica, CA 90403Get directions →

Provider Business Mailing Address Details

Address
Po Box 31502
Belfast, ME 04915-0168
City
Belfast
State
ME
Zip
04915-0168
Phone Number
310-828-0011
Fax Number
310-828-2001

License Information

Taxonomy (1)
Podiatrist, Foot & Ankle Surgery · 213ES0103X
Taxonomy (2)
· 213ES0131X
Taxonomy (3)
Podiatrist · 213E00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Pnc Podiatry Of Southern California PC?

The NPI number of Pnc Podiatry Of Southern California PC is 1477317667. It was assigned on February 8, 2024 and is currently active in the NPPES registry.

What is the specialty of Pnc Podiatry Of Southern California PC?

Pnc Podiatry Of Southern California PC is registered under the primary taxonomy Podiatrist (code 213E00000X).

Where does Pnc Podiatry Of Southern California PC practice?

The practice location is 2121 Wilshire Blvd Ste 101, Santa Monica, CA 90403-5742. The office can be reached at 310-828-0011 (phone) or 310-828-2001 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1477317667 directly on the NPPES registry website.

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