# KENNETH JAY WEPMAN DPM

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

## Provider details

- **NPI number:** 1740447226
- **Authorized official:** KENNETH JAY WEPMAN DPM (OWNER)
- **Authorized official phone:** (562) 425-2113

## Contact information

- **Practice address:** 3816 WOODRUFF AVE, SUITE \#207, LONG BEACH, CA 90808-2147
- **Practice address phone:** (562) 425-2113
- **Practice address fax:** (562) 425-3044
- **Mailing address:** 3816 WOODRUFF AVE, SUITE \#207, LONG BEACH, CA 90808-2147
- **Mailing address phone:** (562) 425-2113
- **Mailing address fax:** (562) 425-3044

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 05/21/2008
- **Last updated:** 07/18/2024