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Organization
SOUTHERN CALIFORNIA FOOT AND ANKLE MEDICAL CENTER
Active
Organization
SOUTHERN CALIFORNIA FOOT AND ANKLE MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANG YUP KIM DPM (SECRETARY)
(562) 606-4519
Entity
Organization
Contact information
Practice address
5451 LA PALMA AVE, SUITE 26, LA PALMA, CA 90623-1728
(562) 606-4519
Mailing address
5451 LA PALMA AVE, SUITE 26, LA PALMA, CA 90623-1728
(562) 606-4519
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E5105
CA
Other
Enumeration date
10/17/2014
Last updated
12/20/2022
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