Provider Demographics
NPI:1326679481
Name:ALAMEDA ORTHOPEDIC FOOTCARE CENTER
Entity Type:Organization
Organization Name:ALAMEDA ORTHOPEDIC FOOTCARE CENTER
Other - Org Name:AOFC
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SALEM
Authorized Official - Middle Name:
Authorized Official - Last Name:ALKATEB
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:949-302-3910
Mailing Address - Street 1:PO BOX 14635
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92623-4635
Mailing Address - Country:US
Mailing Address - Phone:949-302-3910
Mailing Address - Fax:
Practice Address - Street 1:1622 WEBSTER ST
Practice Address - Street 2:
Practice Address - City:ALAMEDA
Practice Address - State:CA
Practice Address - Zip Code:94501-2134
Practice Address - Country:US
Practice Address - Phone:510-523-4316
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-28
Last Update Date:2021-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies