Organization
K MEDICAL PODIATRY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACKIE KIM (ADMINISTRATOR)
(562) 269-0300
Entity
Organization
Contact information
Practice address
701 E 28TH ST STE 111, LONG BEACH, CA 90806-2715
(562) 269-0300
Mailing address
701 E 28TH ST STE 111, LONG BEACH, CA 90806-2715
(562) 269-0300
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
03/23/2021
Last updated
03/23/2021
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