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Organization
KIM FOOT AND ANKLE MEDICAL CENTERS OF LONG BEACH
Active
Organization
KIM FOOT AND ANKLE MEDICAL CENTERS OF LONG BEACH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
S. DON KIM DPM (OWNER)
(562) 426-2551
Entity
Organization
Contact information
Practice address
701 E 28TH ST, SUITE 111, LONG BEACH, CA 90806-2759
(562) 426-2551
(562) 988-0610
Mailing address
701 E 28TH ST, SUITE 111, LONG BEACH, CA 90806-2715
(562) 426-2551
(562) 988-0610
Taxonomy
Speciality
Code
Description
License number
State
213EP0504X
Public Medicine Podiatrist
Primary
—
—
213EP1101X
Primary Podiatric Medicine Podiatrist
—
—
213ER0200X
Radiology Podiatrist
—
—
213ES0000X
Sports Medicine Podiatrist
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
213ES0131X
Foot Surgery Podiatrist
—
—
Other
Enumeration date
07/19/2006
Last updated
10/13/2014
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