NPI 1083290555

K Medical Podiatry INC

Organisation Non-Pharmacy Dispensing Site Long Beach, CA

Practice location

Address: 701 E 28th St STE 111, Long Beach, CA 90806-2715
Phone: (562) 269-0300

Authorised official

Name: Jackie Kim
Title: Administrator
Phone: (562) 269-0300

Registered specialties

Non-Pharmacy Dispensing Site Primary

Suppliers Taxonomy 332900000X

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Registry record

NPI: 1083290555
Entity type: Organization
NPI issued: 23 Mar 2021
Record last updated: 23 Mar 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.