Broadway Podiatry Clinic in Long Beach - Podiatrist
Broadway Podiatry Clinic - NPI 1306991922
Broadway Podiatry Clinic is a Podiatrist in Long Beach, California. Broadway Podiatry Clinic practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Broadway Podiatry Clinic is 1306991922. The last update date is 2020-08-22.
Broadway Podiatry Clinic's current location address is 915 Redondo Ave, Long Beach, California. You can contact this provider via phone number 5629872626. The mailing address for Broadway Podiatry Clinic is 915 Redondo Ave, Long Beach, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Broadway Podiatry Clinic |
|---|---|
| Address | 915 Redondo Ave, Long Beach, California |
| Phone Number | 5629872626 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Mc Cabe L James |
| Credentials | DPM |
| Telephone Number | 5629872626 |
NPI Number Detail
| NPI Number | 1306991922 |
|---|---|
| Provider Enumeration Date | 2007-01-24 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 915 Redondo Ave |
|---|---|
| City | Long Beach |
| State | California (CA) |
| Post Code | 908045132 |
| Phone Number | 5629872626 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Podiatrist |
|---|---|
| Taxonomy | 213E00000X |
| Licence No | E2093 |
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Definition: A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 000E20930 | CA | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Broadway Podiatry Clinic by the Centers for Medicare & Medicaid Services?
The Broadway Podiatry Clinic has been issued the NPI (National Provider Identifier) 1306991922. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Broadway Podiatry Clinic is located?
The Broadway Podiatry Clinic is situated at the following address: 915 Redondo Ave, Long Beach, CA, 908045132.
What is Broadway Podiatry Clinic's specialized field of practice, and what is the corresponding taxonomy classification code?
The Broadway Podiatry Clinic's area of specialization is Podiatrist, and the corresponding taxonomy code that categorizes this field of practice is 213E00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1306991922 to Broadway Podiatry Clinic?
The Broadway Podiatry Clinic received its 1306991922 assignment from the Centers for Medicare & Medicaid Services on 2007-01-24.
As of what date was the information pertaining to Broadway Podiatry Clinic, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Broadway Podiatry Clinic, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-08-22.