MICHAEL J KIM DPM PC NPI 1316665524

NPI Information

  • NPI: 1316665524
  • Provider Name: MICHAEL J KIM DPM PC
  • Classification: Clinic/Center - 261QP1100X
  • Specialization: Podiatric
  • Entity Type: Organization
  • Doing Business As: GRACE FOOT AND ANKLE CENTER
  • Address: 9353 FAIRWAY VIEW PL STE 100
    RANCHO CUCAMONGA, CA
    ZIP 91730
  • Phone: (909) 858-2772

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NPI Details

MICHAEL J KIM DPM PC is a podiatric clinic center in Rancho Cucamonga, CA. MICHAEL J KIM DPM PC NPI is 1316665524. The provider is registered as an organization entity type.
The provider Is Doing Business As Grace Foot And Ankle Center.

The provider's business location address is:

9353 FAIRWAY VIEW PL STE 100
RANCHO CUCAMONGA, CA
ZIP 91730-961
Phone: (909) 858-2772
Fax: (909) 300-6324

The provider's authorized official is Lucia Kim .
The authorized official title is Office Manager and has the following contact phone number (269) 317-4098.

The enumeration date for this NPI number is 8/15/2022 and was last updated on 12/2/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QP1100XClinic/CenterPodiatricYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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