NEW AGE FOOT AND ANKLE PODIATRY PC
Medical Practice at Ivy St, Glendale, CA

License number
California E 5019
Category
Medical Practice
Type
Foot & Ankle Surgery
Owner
Name: DR. ALEKSANDER V LAVRENOV D.P.M.
Title: PRESIDENT
Phone: (917) 687-7528
Address
Address 2
705 Ivy St, Glendale, CA 91204
20548 Ventura Blvd APT 217, Woodland Hills, CA 91364
National Provider ID: 1710302450
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about NEW AGE FOOT AND ANKLE PODIATRY PC at bizstanding.com

New Age Foot and Ankle Podiatry PC

705 Ivy St, Glendale, CA 91204

Registration:
Feb 13, 2014
State ID:
03645503
Business type:
Articles of Incorporation
Agent:
Boris Barats

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