Healthcare Provider Details

I. General information

NPI: 1689345746
Provider Name (Legal Business Name): ESKANDER FOOT & ANKLE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/27/2021
Last Update Date: 06/11/2024
Certification Date: 06/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18021 SKY PARK CIR STE G
IRVINE CA
92614-6569
US

IV. Provider business mailing address

316 OLIVE AVE #4
HUNTINGTON BEACH CA
92648-7701
US

V. Phone/Fax

Practice location:
  • Phone: 949-774-2890
  • Fax: 949-861-5890
Mailing address:
  • Phone: 949-774-2890
  • Fax: 949-861-5890

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number
License Number State

VIII. Authorized Official

Name: ANDREW NADIM ESKANDER
Title or Position: OWNER/DIRECTOR/PRESIDENT
Credential: DPM
Phone: 949-774-2890