Healthcare Provider Details

I. General information

NPI: 1205524956
Provider Name (Legal Business Name): ALEXIS MARY VERA DPM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ALEXIS FRANSON

II. Dates (important events)

Enumeration Date: 04/28/2023
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27421 TOURNEY RD
VALENCIA CA
91355-5393
US

IV. Provider business mailing address

PO BOX 841868
LOS ANGELES CA
90084-1868
US

V. Phone/Fax

Practice location:
  • Phone: 310-828-0011
  • Fax:
Mailing address:
  • Phone: 847-627-4920
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number6166
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: