MEDICARE: ALEXANDER FOOT AND ANKLE CARE CENTER,INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QP1100X	Podiatric Clinic/Center	E3863	CA

General Provider Information

NPI Number	:	1124283288
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALEXANDER FOOT AND ANKLE CARE CENTER,INC.

Provider Business Mailing Address
First Line	:	2700 N BELLFLOWER BLVD STE 312
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90815-1145
Country	:	US
Telephone Number	:	562-429-9555
Fax Number	:

Provider Business Practice Location Address
First Line	:	1777 N BELLFLOWER BLVD STE 209
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90815-4020
Country	:	US
Telephone Number	:	562-986-9090
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. LIZA H ALEXANDER
Credential	:	D.P.M.
Telephone Number	:	562-429-9555

Provider Enumeration Date	:	07/28/2008
Last Update Date	:	11/07/2018

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