| 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 | |
| 213EP1101X Podiatrist, Primary Podiatric Medicine | |
| 213ER0200X Podiatrist, Radiology | |
| 213ES0000X Podiatrist, Sports Medicine | |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2014-10-13 |