Steven Park Kim in Santa Rosa - Foot & Ankle Surgery
Steven Park Kim - NPI 1306877006
Steven Park Kim is a Foot & Ankle Surgery in Santa Rosa, California. Steven Park Kim practices all healthcare services and medical treatments related to Foot & Ankle Surgery. The NPI Number for Steven Park Kim is 1306877006. The last update date is 2012-04-18.
Steven Park Kim's current location address is 3536 Mendocino Ave, Santa Rosa, California. You can contact this provider via phone number 7075756049 and fax number 7075450575. The mailing address for Steven Park Kim is 3536 Mendocino Ave, Santa Rosa, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Steven Park Kim |
|---|---|
| Address | 3536 Mendocino Ave, Santa Rosa, California |
| Phone Number | 7075756049 |
| Fax Number | 7075450575 |
| Sole Proprietor | N |
| Credentials | D.P.M. |
NPI Number Detail
| NPI Number | 1306877006 |
|---|---|
| Provider Enumeration Date | 2006-07-05 |
| Last Updated Date | 2012-04-18 |
Provider Mailing Address Detail
| Address | 3536 Mendocino Ave |
|---|---|
| City | Santa Rosa |
| State | California (CA) |
| Post Code | 954033634 |
| Phone Number | 7075756049 |
| Fax Number | 7075450575 |
Provider's Primary Taxonomy Detail
| Speciality | Foot & Ankle Surgery |
|---|---|
| Taxonomy | 213Es0103X |
| Licence No | E4506 |
|
Definition: A doctor of podiatric medicine who diagnoses and treats disorders and injuries to the foot, ankle and related structures. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| P01011615 | CA | RAILROAD MEDICARE | |
| 000E45060 | CA | -- |
Post Comment/ Review Below
What is the Steven Park Kim's 1306877006?
The Steven Park Kim's NPI (National Provider Identifier) Number is 1306877006. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Steven Park Kim located?
The Steven Park Kim is located at 3536 Mendocino Ave, Santa Rosa, CA 954033634.
What is Steven Park Kim's specialized field of practice, and what is the corresponding taxonomy classification code?
The Steven Park Kim's area of specialization is Foot & Ankle Surgery, and the corresponding taxonomy code that categorizes this field of practice is 213Es0103X.
When did Steven Park Kim receive its 1306877006 assignment?
The Steven Park Kim was assigned its 1306877006 on 2006-07-05, which is the date when this unique identifier was issued to the organization.
When was the information related to Steven Park Kim most recently updated or refreshed?
The details pertaining to the Steven Park Kim, including its address, specialty, and other relevant information, were last updated or refreshed on 2012-04-18.