# PETER C KIM DPM INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Irvine Foot & Ankle Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003168626
- **Authorized official:** DR. PETER CHANG KIM DPM (PRESIDENT)
- **Authorized official phone:** (949) 379-3080

## Contact information

- **Practice address:** 4482 BARRANCA PKWY STE 228, IRVINE, CA 92604-1738
- **Practice address phone:** (949) 379-3080
- **Practice address fax:** (949) 379-3020
- **Mailing address:** 4482 BARRANCA PKWY STE 228, IRVINE, CA 92604-1738
- **Mailing address phone:** (949) 379-3080

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | E4027 | CA | Yes |
| 261QP1100X | Podiatric Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 10/05/2012
- **Last updated:** 10/03/2023