| NPI | 1962172726 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDER REYZELMAN Chief Regional Medical Officer 415-292-0638 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2021-09-14 |
| Last Update Date | 2024-07-01 |