Central California Leg, Foot, And Ankle Center, Inc. | |
27462 Portola Pkwy Ste 100, Lake Forest, CA 92610-2838 | |
(949) 468-2525 | |
Not Available |
Full Name | Central California Leg, Foot, And Ankle Center, Inc. |
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Type | Facility |
Speciality | Podiatrist - Foot & Ankle Surgery |
Location | 27462 Portola Pkwy Ste 100, Lake Forest, California |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1417579129 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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213ES0103X | Podiatrist - Foot & Ankle Surgery | (* (Not Available)) | Primary |
Provider Name | Ali Ghorbanifarajzadeh |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1164824249 PECOS PAC ID: 0244505568 Enrollment ID: I20171011003626 |
Mailing Address | Practice Location Address |
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Central California Leg, Foot, And Ankle Center, Inc. 217 Regal, Irvine, CA 92620-3542 Ph: () - | Central California Leg, Foot, And Ankle Center, Inc. 27462 Portola Pkwy Ste 100, Lake Forest, CA 92610-2838 Ph: (949) 468-2525 |
Shirley Chang, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 25432 Mina Ct, Lake Forest, CA 92630 Phone: 949-235-0885 | |
Richard R Moy, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 29300 Portola Pkwy, Suite B, Lake Forest, CA 92630 Phone: 949-837-3338 Fax: 949-716-2725 | |
Richard R Moy, D.p.m., Inc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 29300 Portola Pkwy Ste B, Lake Forest, CA 92630 Phone: 949-837-3338 |