Alexander Reyzelman, Dpm, INC.
Podiatrist, Primary Podiatric Medicine in San Francisco, CA. Organization (NPI-2).
NPI number1780166074
StatusActive
Last updated in NPPESAug 28, 2021
Details
- NPI
- 1780166074
- Entity type
- Organization (NPI-2)
- Legal business name
- Alexander Reyzelman, Dpm, INC.
- Organization subpart
- Yes
- Enumeration date
- Sep 4, 2018
- Certification date
- Aug 28, 2021
- Last updated
- Aug 28, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 213EP1101X | Podiatrist, Primary Podiatric Medicine | – | – | Yes |
| 213ES0103X | Podiatrist, Foot & Ankle Surgery | – | – |
Practice location
1511 Clement StSan Francisco, CA 94118-1031
Phone 415-387-5556 · Fax 415-387-2424
Mailing address
2299 Post St Ste 205San Francisco, CA 94115-3473
Phone 415-292-0638 · Fax 415-292-0718
Authorized official
Rozana Reyzelman
Authorized Official
4156800871
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