person
Peter Chang Kim, DPM
Primary Podiatric Medicine Podiatrist in Irvine, California
NPI 1053340687

Peter Chang Kim is a Primary Podiatric Medicine Podiatrist based in Irvine, CA and is specialized in Primary Podiatric Medicine. Peter Chang Kim practices in Irvine, CA and has the professional credentials of DPM. The NPI Number for Peter Chang Kim is 1053340687 and holds a License No. E4027 (California).

The current practice location address for Peter Chang Kim is 4482 Barranca Pkwy Ste 228, Irvine, CA and can be reached out via phone at 949-379-3080 and via fax at 949-379-3020. You can also correspond with Peter Chang Kim through the mailing address at 4482 BARRANCA PKWY, IRVINE, CA - 92604-1738 (mailing address contact number: 949-379-3080).

Location: 4482 Barranca Pkwy Ste 228, Irvine, CA, 92604-1738
person
Provider Profile Details
NPI Number
1053340687
Provider Name
Peter Chang Kim
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
4482 Barranca Pkwy Ste 228, Irvine, CA, 92604-1738
Phone Number
949-379-3080
Fax Number
949-379-3020
Provider Enumeration Date
07/03/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000E40272 05 CA
000E40270 01 CA BLUE SHIELD
1316930001 01 CA DNERC REG O
institution
Provider Business Practice Location Address Details
Address
4482 Barranca Pkwy Ste 228
City
State
Zip
92604-1738
Phone Number
949-379-3080
Fax Number
949-379-3020
person
Provider Business Mailing Address Details
Address
4482 Barranca Pkwy
City
State
Zip
92604-1738
Phone Number
949-379-3080
Fax Number
949-379-3020
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Primary Podiatric Medicine
Taxonomy
License No.
E4027 (California)
Definition
Definition to come...
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