Pnc Podiatry Of Southern California Pc

LBN: Pnc Podiatry Of Southern California Pc
Pnc Podiatry Of Southern California Pc is an health care organization with primary practice located at 2121 Wilshire Blvd Ste 101 , Santa Monica CA 90403-5742. The organization recently has 3 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Podiatric Medicine & Surgery Service Providers / Foot Surgery. Podiatric Medicine & Surgery Service Providers / Podiatrist is the primary health care specialty. Pnc Podiatry Of Southern California Pc can be contacted via phone (310) 828-0011, or through Reyzelman, Alexander M via phone (415) 292-0638.

Contact Information

Primary practice address
2121 Wilshire Blvd Ste 101 Santa Monica CA 90403-5742
Phone: (310) 828-0011
Fax: (310) 828-2001
Website:
Map and Directions
Authorized official contact:
Name: Reyzelman, Alexander M Doctor of Podiatric Medicine (DPM)
Phone: (415) 292-0638

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X

Profile Details

NPI number 1477317667
LBN Legal business name Pnc Podiatry Of Southern California Pc
DBA Doing business as
Authorized official Reyzelman, Alexander M Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 8th, 2024
Last updated Feb 8th, 2024 - about 10 months 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.

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