| NPI | 1467471326 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | S. DON KIM Owner 562-426-2551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213EP0504X Podiatrist Public Medicine |
| Additional Taxonomies | 213ES0103X Podiatrist Foot & Ankle Surgery |
| 213ES0131X Podiatrist Foot Surgery | |
| 213EP1101X Podiatrist Primary Podiatric Medicine | |
| 213ER0200X Podiatrist Radiology | |
| 213ES0000X Podiatrist Sports Medicine | |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2014-10-13 |