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General NPI Number Information
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NPI Number | 1023192721
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Entity Type | Individual
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Provider Name | ALEXANDER REYZELMAN DPM
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Gender | Male
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Dates
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Enumeration Date | 10/25/2006
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Last Update Date | 05/09/2025
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Provider Practice Location Address
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Address Line | 2299 POST ST STE 205
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City | SAN FRANCISCO
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State | CA
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Zip | 94115-3443
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Country | US
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Telephone | 415-292-0638
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Fax |
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Provider Business Mailing Address
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Address Line | 690 23RD AVE
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City | SAN FRANCISCO
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State | CA
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Zip | 94121-3709
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Country | US
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Telephone | 415-292-0638
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Fax | 415-292-0718
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | E4136
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 213ES0131X
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Taxonomy Name | Foot Surgery Podiatrist
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License Number | E4136
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | E4136
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License Number State | CA
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