| NPI | 1720836430 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDER REYZELMAN Regional Chief Medical Officer 415-292-0638 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist |
| Additional Taxonomies | 213ES0000X Podiatrist, Sports Medicine |
| 213ES0103X Podiatrist, Foot & Ankle Surgery | |
| Enumeration Date | 2024-05-08 |
| Last Update Date | 2024-05-08 |