NPI 1053616086

Foot and Ankle Specialist

Organisation Foot & Ankle Surgery Podiatrist Irvine, CA

Practice location

Address: 16405 Sand Canyon Ave STE 270, Irvine, CA 92618-3792
Phone: (949) 651-1202

Authorised official

Name: Gennady Kolodenker
Title: Owner
Phone: (949) 651-1202

Registered specialties

Foot & Ankle Surgery Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213ES0103X Licence E4880 (CA)

Other Podiatrist providers in California →

Registry record

NPI: 1053616086
Entity type: Organization
NPI issued: 23 Jan 2011
Record last updated: 24 Jun 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.