Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

New Age Foot and Ankle Podiatry PC

Organization Foot & Ankle Surgery Podiatrist · NPI 1710306501

New Age Foot and Ankle Podiatry PC provides Foot & Ankle Surgery Podiatrist services in Van Nuys, 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

16935 Vanowen St Ste E
Van Nuys, CA 91406-4595 Not confirmed with CMS for 12 years — call before visiting
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 number1710306501
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Aleksander Lavrenov — President · (917) 687-7528
NPI enumeratedApril 9, 2014
Last updated in NPPESJune 4, 2014
Mailing address20548 Ventura Blvd, Suite 217, Woodland Hills, CA 91364-6225

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