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PAK PODIATRY CORP. NPI 1396796306


NPI Information

NPI: 1396796306
Provider Name: PAK PODIATRY CORP.
Classification: Clinic/Center - 261QP1100X
Entity Type: Organization

Specialization: Podiatric

Address:
1711 W TEMPLE ST
SUITE #3600
LOS ANGELES, CA
ZIP 90026
Phone: (213) 989-0700
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PAK PODIATRY CORP. is a podiatric clinic center in Los Angeles, CA. PAK PODIATRY CORP. NPI is 1396796306. The provider is registered as an organization entity type.

The provider's business location address is:

1711 W TEMPLE ST
SUITE #3600
LOS ANGELES, CA
ZIP 90026-421
Phone: (213) 989-0700
Fax: (213) 989-0703

The provider's authorized official is Sang Joon Pak .
The authorized official title is Owner/president and has the following contact phone number (213) 989-0700.

The enumeration date for this NPI number is 5/14/2006 and was last updated on 1/24/2009.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QP1100XClinic/CenterPodiatricE4251CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
15155240001MEDICARE NSCCALIFORNIA
2E4251OTHERCALIFORNIACALIFRONIA LICENSE NUMBER
3U79896MEDICARE UPINCALIFORNIA
4W17271MEDICARE PINCALIFORNIA

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.