Cupertino Podiatry, Inc
LBN: Cupertino Podiatry Inc.
Cupertino Podiatry, Inc is an health care organization with primary practice located at 10353 Torre Ave Suite C, Cupertino CA 95014-3217. The organization recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as the primary health care specialty.
Cupertino Podiatry Inc. can be contacted via phone (408) 446-5811, or through Reyzelman, Alexander via phone (415) 292-0638.
Contact Information
Primary practice address
10353 Torre Ave Suite C
Cupertino CA 95014-3217
Phone: (408) 446-5811
Fax: (408) 996-1637
Website:
Authorized official contact:
Name: Reyzelman, Alexander Doctor of Podiatric Medicine (DPM)
Phone: (415) 292-0638
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | E4260 | California |
Profile Details
| NPI number | 1942432505 |
|---|---|
| LBN Legal business name | Cupertino Podiatry Inc. |
| DBA Doing business as | Cupertino Podiatry, Inc |
| Authorized official | Reyzelman, Alexander Doctor of Podiatric Medicine (DPM) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Aug 17th, 2009 |
| Last updated | Aug 10th, 2021 - about 3 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1942432505 | NPPES |
| California | MEDICAID | 1942432505 | |
| California | MEDICAID | CD479A |
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