Jackie Chan in Pico Rivera - Foot & Ankle Surgery
Jackie Chan - NPI 1417026881
Jackie Chan is a Foot & Ankle Surgery in Pico Rivera, California. Jackie Chan practices all healthcare services and medical treatments related to Foot & Ankle Surgery. The NPI Number for Jackie Chan is 1417026881. The last update date is 2012-09-14.
Jackie Chan's current location address is 8337 Telegraph Rd, Pico Rivera, California. You can contact this provider via phone number 5628061862 and fax number 5629286542. The mailing address for Jackie Chan is 8337 Telegraph Rd, Pico Rivera, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jackie Chan |
|---|---|
| Address | 8337 Telegraph Rd, Pico Rivera, California |
| Phone Number | 5628061862 |
| Fax Number | 5629286542 |
| Sole Proprietor | Y |
| Credentials | DPM |
NPI Number Detail
| NPI Number | 1417026881 |
|---|---|
| Provider Enumeration Date | 2006-11-07 |
| Last Updated Date | 2012-09-14 |
Provider Mailing Address Detail
| Address | 8337 Telegraph Rd |
|---|---|
| City | Pico Rivera |
| State | California (CA) |
| Post Code | 906604909 |
| Phone Number | 5628061862 |
| Fax Number | 5629286542 |
Provider's Primary Taxonomy Detail
| Speciality | Foot & Ankle Surgery |
|---|---|
| Taxonomy | 213Es0103X |
| Licence No | E2120 |
|
Definition: A doctor of podiatric medicine who diagnoses and treats disorders and injuries to the foot, ankle and related structures. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 21200 | CA | -- | |
| E2120 | CA | CA MEDICAL LICENSE |
Post Comment/ Review Below
What is the Jackie Chan's 1417026881?
The Jackie Chan's NPI (National Provider Identifier) Number is 1417026881. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Jackie Chan?
The Jackie Chan is situated at 8337 Telegraph Rd, in the city of Pico Rivera, state of CA, with the zip code 906604909.
What is Jackie Chan's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Jackie Chan is Foot & Ankle Surgery, and the taxonomy classification code that categorizes this area of expertise is 213Es0103X.
On what date did the Jackie Chan receive its 1417026881 assignment from the Centers for Medicare & Medicaid Services?
The Jackie Chan was assigned its 1417026881 by the Centers for Medicare & Medicaid Services on 2006-11-07.
As of what date were the details pertaining to Jackie Chan last refreshed?
The information related to the Jackie Chan, including its address, specialty, and other relevant details, was last updated on 2012-09-14.