Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

New Age Foot and Ankle Podiatry PC

Organization Foot & Ankle Surgery Podiatrist · NPI 1710302450

New Age Foot and Ankle Podiatry PC is a Foot & Ankle Surgery Podiatrist in Glendale, California. Licensed in California. Registered with an NPI since 2014.

Licensed in
CA
In the registry since
2014
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

705 Ivy St
Glendale, CA 91204
Phone: (917) 687-7528
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence E 5019 (CA)

Record details

NPI number1710302450
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Aleksander Lavrenov — President · (917) 687-7528
NPI enumeratedMarch 4, 2014
Last updated in NPPESMarch 4, 2014
Mailing address20548 Ventura Blvd, Apt 217, Woodland Hills, CA 91364-6225

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