Kenneth Jay Wepman in Long Beach - Sports Medicine
Kenneth Jay Wepman - NPI 1811920093
Kenneth Jay Wepman is a Sports Medicine in Long Beach, California. Kenneth Jay Wepman practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Kenneth Jay Wepman is 1811920093. The last update date is 2016-11-10.
Kenneth Jay Wepman's current location address is 3816 Woodruff Ave, Long Beach, California. You can contact this provider via phone number 5624252113 and fax number 5624253044. The mailing address for Kenneth Jay Wepman is 3816 Woodruff Ave, Long Beach, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth Jay Wepman |
|---|---|
| Address | 3816 Woodruff Ave, Long Beach, California |
| Phone Number | 5624252113 |
| Fax Number | 5624253044 |
| Sole Proprietor | Y |
| Credentials | DPM |
NPI Number Detail
| NPI Number | 1811920093 |
|---|---|
| Provider Enumeration Date | 2006-07-09 |
| Last Updated Date | 2016-11-10 |
Provider Mailing Address Detail
| Address | 3816 Woodruff Ave |
|---|---|
| City | Long Beach |
| State | California (CA) |
| Post Code | 908082147 |
| Phone Number | 5624252113 |
| Fax Number | 5624253044 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 213Es0000X |
| Licence No | E3594 |
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Definition: A doctor of podiatric medicine who focuses on treating athletic injuries related to the lower extremities. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 000E35940 | CA | -- | |
| 330426137 | CA | FEDERAL TAX ID | |
| 826880001 | CA | DME |
Post Comment/ Review Below
What is the unique identification code assigned to Kenneth Jay Wepman by the Centers for Medicare & Medicaid Services?
The Kenneth Jay Wepman has been issued the NPI (National Provider Identifier) 1811920093. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Kenneth Jay Wepman is geographically located?
The Kenneth Jay Wepman is physically situated at the following location: 3816 Woodruff Ave, Long Beach, CA, 908082147.
What is Kenneth Jay Wepman's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Kenneth Jay Wepman is Sports Medicine, and the corresponding taxonomy classification code for this specialized field is 213Es0000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1811920093 to Kenneth Jay Wepman?
The Centers for Medicare & Medicaid Services assigned the 1811920093 to Kenneth Jay Wepman on 2006-07-09.
When was the Kenneth Jay Wepman's information last updated?
The Kenneth Jay Wepman's information was last updated on 2016-11-10.