Organization
BEACH FOOT AND ANKLE CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD SONG WOO RHEE DPM (PRESIDENT)
(714) 522-8000
Entity
Organization
Contact information
Practice address
5832 BEACH BLVD UNIT 211, BUENA PARK, CA 90621-5501
(714) 522-8000
(714) 522-8008
Mailing address
5832 BEACH BLVD UNIT 211, BUENA PARK, CA 90621-5501
(714) 522-8000
(714) 522-8008
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BL-030293
BUSINESS LICENSE
CA
Enumeration date
02/21/2019
Last updated
01/25/2021
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