| 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. |
|---|---|
| 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 |
|---|---|---|---|
| 1417579129 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | (* (Not Available)) | Primary |
| Provider Name | Ali Ghorbanifarajzadeh |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1164824249 PECOS PAC ID: 0244505568 Enrollment ID: I20171011003626 |
| Mailing Address | Practice Location Address |
|---|---|
| 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 |