Ambulatory Foot Care Podiatry Clinic, Inc.
LBN: Ambulatory Foot Care Podiatry Clinic, Inc.
Ambulatory Foot Care Podiatry Clinic, Inc. is an health care organization with primary practice located at 12902 Brookhurst St Suite B, Garden Grove CA 92840-4881. The organization recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as the primary health care specialty.
Ambulatory Foot Care Podiatry Clinic, Inc. can be contacted via phone (714) 636-3211, or through Van, Thu Kim via phone (714) 636-3211.
Contact Information
Primary practice address
12902 Brookhurst St Suite B
Garden Grove CA 92840-4881
Phone: (714) 636-3211
Fax: (714) 636-5956
Website:
Authorized official contact:
Name: Van, Thu Kim Doctor of Podiatric Medicine (DPM)
Phone: (714) 636-3211
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | E3686 | California |
Profile Details
| NPI number | 1831384163 |
|---|---|
| LBN Legal business name | Ambulatory Foot Care Podiatry Clinic, Inc. |
| DBA Doing business as | |
| Authorized official | Van, Thu Kim Doctor of Podiatric Medicine (DPM) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 10th, 2007 |
| Last updated | Dec 26th, 2023 - about last year |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1831384163 | NPPES |
| California | MEDICAID | GRE000290 |
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