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Organization
FOOTFAIRY LLC
Active
Organization
FOOTFAIRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GI RYOUNG KWON DPM (SOLE MEMBER)
(201) 723-4661
Entity
Organization
Contact information
Practice address
4708 VISTA DEL MONTE AVE, SHERMAN OAKS, CA 91403-2941
(315) 206-4310
Mailing address
4708 VISTA DEL MONTE AVE, SHERMAN OAKS, CA 91403-2941
(315) 206-4310
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Enumeration date
03/04/2026
Last updated
03/11/2026
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