Kim, Peter Chang

Kim, Peter Chang is an individual health care provider with primary practice located at 4482 Barranca Pkwy Ste 228 , Irvine CA 92604-1738. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, which is considered as his primary health care specialty. Kim, Peter Chang can be contacted via phone (949) 379-3080.

Contact Information

Primary practice address
4482 Barranca Pkwy Ste 228 Irvine CA 92604-1738
Phone: (949) 379-3080
Fax: (949) 379-3020
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X E4027 California

Profile Details

NPI number 1053340687
LBN Legal business name Kim, Peter Chang
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2006
Last updated Aug 1st, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053340687 NPPES
California MEDICAID 000E40272
California Other 000E40270
California Other 1316930001

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