Provider Demographics
NPI:1750120382
Name:REGEL FOOT AND ANKLE ASSOCIATES INCORPORATED
Entity type:Organization
Organization Name:REGEL FOOT AND ANKLE ASSOCIATES INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:J
Authorized Official - Last Name:PIRAK
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:310-422-6424
Mailing Address - Street 1:3126 S SEPULVEDA BLVD STE 304
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90034-4236
Mailing Address - Country:US
Mailing Address - Phone:310-422-6424
Mailing Address - Fax:310-595-5962
Practice Address - Street 1:12826 VICTORY BLVD
Practice Address - Street 2:
Practice Address - City:NORTH HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:91606-3065
Practice Address - Country:US
Practice Address - Phone:310-422-6424
Practice Address - Fax:310-595-5962
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-22
Last Update Date:2024-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty