Organization · NPI-2

Bay Area Foot Care, INC

Podiatrist, Primary Podiatric Medicine · Roseville, CA

NPI number1346950953
StatusActive
Last updated in NPPESJun 28, 2024

Details

NPI
1346950953
Entity type
Organization (NPI-2)
Legal business name
Bay Area Foot Care, INC
Organization subpart
Yes
Enumeration date
Dec 5, 2022
Certification date
Jun 28, 2024
Last updated
Jun 28, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
213EP1101X Podiatrist, Primary Podiatric Medicine––Yes
332B00000X Durable Medical Equipment & Medical Supplies––

Other names

  • Bay Area Foot Care (Doing Business As)

Practice location

576 N Sunrise Ave Ste 230
Roseville, CA 95661-2847

Phone 916-961-3434 · Fax 916-844-0285

Mailing address

20130 Lake Chabot Rd Ste 202
Castro Valley, CA 94546-5340

Phone 510-581-1484 · Fax 510-581-7779

Authorized official

Alexander Reyzelman
Regional Chief Medical Officer
4152920638

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