Peter Chang Kim in Irvine - Primary Podiatric Medicine
Peter Chang Kim - NPI 1053340687
Peter Chang Kim is a Primary Podiatric Medicine in Irvine, California. Peter Chang Kim practices all healthcare services and medical treatments related to Primary Podiatric Medicine. The NPI Number for Peter Chang Kim is 1053340687. The last update date is 2022-08-01.
Peter Chang Kim's current location address is 4482 Barranca Pkwy, Irvine, California. You can contact this provider via phone number 9493793080 and fax number 9493793020. The mailing address for Peter Chang Kim is 4482 Barranca Pkwy, Irvine, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Peter Chang Kim |
|---|---|
| Address | 4482 Barranca Pkwy, Irvine, California |
| Phone Number | 9493793080 |
| Fax Number | 9493793020 |
| Sole Proprietor | N |
| Credentials | DPM |
NPI Number Detail
| NPI Number | 1053340687 |
|---|---|
| Provider Enumeration Date | 2006-07-03 |
| Last Updated Date | 2022-08-01 |
Provider Mailing Address Detail
| Address | 4482 Barranca Pkwy |
|---|---|
| City | Irvine |
| State | California (CA) |
| Post Code | 926041738 |
| Phone Number | 9493793080 |
| Fax Number | 9493793020 |
Provider's Primary Taxonomy Detail
| Speciality | Primary Podiatric Medicine |
|---|---|
| Taxonomy | 213Ep1101X |
| Licence No | E4027 |
|
Definition: A doctor of podiatric medicine expert in general podiatry health services related to medical diagnoses and treatment of the foot, ankle and lower extremities. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 000E40272 | CA | -- | |
| 000E40270 | CA | BLUE SHIELD | |
| 1316930001 | CA | DNERC REG O |
Post Comment/ Review Below
What is the unique identifier code issued to Peter Chang Kim by the Centers for Medicare & Medicaid Services (CMS)?
The Peter Chang Kim has been assigned the NPI (National Provider Identifier) 1053340687. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Peter Chang Kim located?
The Peter Chang Kim is located at 4482 Barranca Pkwy, Irvine, CA 926041738.
What is Peter Chang Kim's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Peter Chang Kim is Primary Podiatric Medicine, and the taxonomy code that classifies this field of practice is 213Ep1101X.
On what date did the Peter Chang Kim receive the assignment of its 1053340687 from the Centers for Medicare & Medicaid Services?
The Peter Chang Kim was issued its 1053340687 by the Centers for Medicare & Medicaid Services on 2006-07-03.
As of what date were the Peter Chang Kim's details last updated?
The information pertaining to the Peter Chang Kim, including its address, specialty, and other details, was most recently updated on 2022-08-01.