| NPI | 1487312088 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JI HEE KIM President 510-703-9837 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Enumeration Date | 2021-12-01 |
| Last Update Date | 2024-03-14 |