Kolodenker, Gennady

Kolodenker, Gennady is an sole proprietor health care provider with primary practice located at 16405 Sand Canyon Ave Suite 270, Irvine CA 92618-3785. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Podiatric Medicine & Surgery Service Providers / Sports Medicine. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is his primary health care specialty. Kolodenker, Gennady can be contacted via phone (949) 651-1202.

Contact Information

Primary practice address
16405 Sand Canyon Ave Suite 270 Irvine CA 92618-3785
Phone: (949) 651-1202
Fax: (949) 552-9493
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X E4880 California
Podiatric Medicine & Surgery Service Providers / Sports Medicine 213ES0000X E4880 California

Profile Details

NPI number 1659516151
LBN Legal business name Kolodenker, Gennady
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 11th, 2008
Last updated Feb 15th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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