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Kenneth Jay Wepman, DPM
Foot Surgery Podiatrist in Long Beach, California
NPI 1811920093

Kenneth Jay Wepman is a Foot Surgery Podiatrist based in Long Beach, CA and is specialized in Foot Surgery. Kenneth Jay Wepman practices in Long Beach, CA and has the professional credentials of DPM. The NPI Number for Kenneth Jay Wepman is 1811920093 and holds a License No. E3594 (California).

The current practice location address for Kenneth Jay Wepman is 3816 Woodruff Ave, Long Beach, CA and can be reached out via phone at 562-425-2113 and via fax at 562-425-3044.

Location: 3816 Woodruff Ave, Long Beach, CA, 90808-2147
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1811920093
Provider Name
Kenneth Jay Wepman
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
3816 Woodruff Ave, Long Beach, CA, 90808-2147
Phone Number
562-425-2113
Fax Number
562-425-3044
Provider Enumeration Date
07/09/2006
Last Update Date
08/17/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000E35940 05 CA
330426137 01 CA FEDERAL TAX ID
0826880001 01 CA DME
institution
Provider Business Practice Location Address Details
Address
3816 Woodruff Ave
City
Long Beach
State
California
Zip
90808-2147
Phone Number
562-425-2113
Fax Number
562-425-3044
person
Provider Business Mailing Address Details
Address
3816 Woodruff Ave
City
Long Beach
State
California
Zip
90808-2147
Phone Number
562-425-2113
Fax Number
562-425-3044
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
-
Taxonomy
213E00000X
License No.
E3594 (California)
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
person
Provider's Taxonomy Details 2
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Primary Podiatric Medicine
Taxonomy
213EP1101X
License No.
E3594 (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Radiology
Taxonomy
213ER0200X
License No.
E3594 (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Sports Medicine
Taxonomy
213ES0000X
License No.
E3594 (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 5
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot Surgery
Taxonomy
213ES0131X
License No.
E3594 (California)
Definition
Definition to come...
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