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Organization
BROADWAY PODIATRY CLINIC
Active
Organization
BROADWAY PODIATRY CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES L MC CABE DPM (OWNER)
(562) 987-2626
Entity
Organization
Contact information
Practice address
915 REDONDO AVE, LONG BEACH, CA 90804-5132
(562) 987-2626
Mailing address
915 REDONDO AVE, LONG BEACH, CA 90804-5132
(562) 987-2626
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E2093
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000E20930
—
CA
Enumeration date
01/24/2007
Last updated
08/22/2020
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