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PNC PODIATRY OF SOUTHERN CALIFORNIA PC NPI 1477317667


NPI Information

NPI: 1477317667
Provider Name: PNC PODIATRY OF SOUTHERN CALIFORNIA PC
Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
2121 WILSHIRE BLVD STE 101
SANTA MONICA, CA
ZIP 90403
Phone: (310) 828-0011
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PNC PODIATRY OF SOUTHERN CALIFORNIA PC is a podiatrist in Santa Monica, CA. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. PNC PODIATRY OF SOUTHERN CALIFORNIA PC NPI is 1477317667. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2121 WILSHIRE BLVD STE 101
SANTA MONICA, CA
ZIP 90403-742
Phone: (310) 828-0011
Fax: (310) 828-2001

The provider's authorized official is Alexander M Reyzelman .
The authorized official title is Cmo and has the following contact phone number (415) 292-0638.

The enumeration date for this NPI number is 2/8/2024 and was last updated on 2/8/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213ES0103XPodiatristFoot & Ankle SurgeryNo
2213ES0131XPodiatristFoot SurgeryNo
3213E00000XPodiatristYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.