Organization
PARNASSUS HEIGHTS PODIATRY GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMIE KIM DPM (OFFICER)
(415) 759-2014
Entity
Organization
Contact information
Practice address
1 SHRADER ST STE 510, STE 4A, SAN FRANCISCO, CA 94117-1034
(415) 759-2014
(415) 759-2015
Mailing address
1 SHRADER ST STE 510, SAN FRANCISCO, CA 94117-1034
(415) 759-2014
(415) 759-2015
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
T10912
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CJ8755
RR MEDICARE GROUP #
CA
Enumeration date
08/13/2006
Last updated
11/01/2016
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