Organization
UNIVERSAL FOOT AND ANKLE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN SIM D.P.M. (PRESIDENT)
(323) 732-7551
Entity
Organization
Contact information
Practice address
3130 W OLYMPIC BLVD, SUITE 170, LOS ANGELES, CA 90006-2484
(323) 732-7551
(323) 732-7829
Mailing address
3130 W OLYMPIC BLVD, SUITE 170, LOS ANGELES, CA 90006-2484
(323) 732-7551
(323) 732-7829
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E4172
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000E41720
—
CA
Enumeration date
07/28/2006
Last updated
01/21/2008
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