MEDICARE: DR. ALEKSANDR FOYGELMAN D.P.M.

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	213ES0103X	Foot & Ankle Surgery Podiatrist	E4387	CA

General Provider Information

NPI Number	:	1265574669
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALEKSANDR FOYGELMAN D.P.M.

Provider Business Mailing Address
First Line	:	4900 TARZANA WOODS DR
Second Line	:
City	:	TARZANA
State	:	CA
Zip	:	91356-4429
Country	:	US
Telephone Number	:	818-633-3338
Fax Number	:

Provider Business Practice Location Address
First Line	:	7559A SANTA MONICA BLVD
Second Line	:
City	:	WEST HOLLYWOOD
State	:	CA
Zip	:	90046-6406
Country	:	US
Telephone Number	:	323-969-9615
Fax Number	:	844-229-9092

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/13/2007
Last Update Date	:	07/17/2023

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