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Organization
INNOVATIVE FOOT AND ANKLE CARE, PC
Active
Organization
INNOVATIVE FOOT AND ANKLE CARE, PC
Active
Other names
Innovative Foot and Ankle Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALBERT KIM DPM (OWNER)
(909) 500-3500
Entity
Organization
Contact information
Practice address
8283 GROVE AVE STE 106, RANCHO CUCAMONGA, CA 91730-3139
(909) 500-3500
(909) 530-3007
Mailing address
8283 GROVE AVE STE 106, RANCHO CUCAMONGA, CA 91730-3139
(909) 500-3500
(909) 530-3007
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
—
NULL
213E00000X
Podiatrist
—
—
213EP0504X
Public Medicine Podiatrist
—
NULL
213EP0504X
Public Medicine Podiatrist
—
—
213EP1101X
Primary Podiatric Medicine Podiatrist
—
NULL
213EP1101X
Primary Podiatric Medicine Podiatrist
—
—
213ES0000X
Sports Medicine Podiatrist
—
NULL
213ES0000X
Sports Medicine Podiatrist
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
NULL
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
261QP1100X
Podiatric Clinic/Center
—
NULL
Other
Enumeration date
12/28/2017
Last updated
05/13/2026
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