Organization
PETER C KIM DPM INC
Active
Other names
Irvine Foot & Ankle Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER CHANG KIM DPM (PRESIDENT)
(949) 379-3080
Entity
Organization
Contact information
Practice address
4482 BARRANCA PKWY STE 228, IRVINE, CA 92604-1738
(949) 379-3080
(949) 379-3020
Mailing address
4482 BARRANCA PKWY STE 228, IRVINE, CA 92604-1738
(949) 379-3080
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E4027
CA
261QP1100X
Podiatric Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000E40272
—
CA
Enumeration date
10/05/2012
Last updated
10/03/2023
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