BEACH FOOT AND ANKLE CENTER INC NPI 1477010858

NPI Information

NPI: 1477010858
Provider Name: BEACH FOOT AND ANKLE CENTER INC
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
5832 BEACH BLVD UNIT 211
BUENA PARK, CA
ZIP 90621
Phone: (714) 522-8000
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BEACH FOOT AND ANKLE CENTER INC is a foot and ankle surgery podiatrist in Buena Park, CA. BEACH FOOT AND ANKLE CENTER INC NPI is 1477010858. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5832 BEACH BLVD UNIT 211
BUENA PARK, CA
ZIP 90621-501
Phone: (714) 522-8000
Fax: (714) 522-8008

The provider's authorized official is Edward Song Woo Rhee .
The authorized official title is President and has the following contact phone number (714) 522-8000.

The enumeration date for this NPI number is 2/21/2019 and was last updated on 1/25/2021.

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
1	213ES0103X	Podiatrist	Foot & Ankle Surgery			Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	BL-030293	OTHER	CALIFORNIA	BUSINESS LICENSE

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

NPI Synchronization or Removal

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