# K MEDICAL PODIATRY INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083290555
- **Authorized official:** JACKIE KIM (ADMINISTRATOR)
- **Authorized official phone:** (562) 269-0300

## Contact information

- **Practice address:** 701 E 28TH ST STE 111, LONG BEACH, CA 90806-2715
- **Practice address phone:** (562) 269-0300
- **Mailing address:** 701 E 28TH ST STE 111, LONG BEACH, CA 90806-2715
- **Mailing address phone:** (562) 269-0300

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332900000X | Non-Pharmacy Dispensing Site | — | NULL | Yes |

## Other

- **Enumeration date:** 03/23/2021
- **Last updated:** 03/23/2021