Organization
SOUTHERN CALIFORNIA FOOT AND ANKLE MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANG YUP KIM DPM (SECRETARY)
(562) 606-4519
Entity
Organization
Contact information
Practice address
5451 LA PALMA AVE, SUITE 26, LA PALMA, CA 90623-1728
(562) 606-4519
Mailing address
5451 LA PALMA AVE, SUITE 26, LA PALMA, CA 90623-1728
(562) 606-4519
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E5105
CA
Other
Enumeration date
10/17/2014
Last updated
12/20/2022
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