Peter Chang Kim
Primary Podiatric Medicine
4482 Barranca Pkwy Ste 228
Irvine
, California 92604-1738
Peter Chang Kim
Primary Podiatric Medicine
4482 Barranca Pkwy Ste 228
Irvine
, California 92604-1738
(949) 379-3020
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About
Features
Specialties
- Primary Podiatric Medicine
Languages spoken
- English
Location
First Address
- Peter Chang Kim
- 4482 Barranca Pkwy Ste 228
- Irvine, CA
- Zip : 92604-1738
- Fax : (949) 379-3020
- Phone : (949) 379-3080
Second Address
- Peter Chang Kim
- 4482 Barranca Pkwy Ste 228
- Irvine, CA
- Zip : 92604-1738
- Fax : (949) 379-3020
- Phone : (949) 379-3080
Reviews
FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213EP1101X | Primary Podiatric Medicine | E4027 | CA |
National Provider Identifier
| NPI | 1053340687 |
|---|---|
| Provider Name | Peter Chang Kim |
| First Address | Irvine, CA 92604-1738 |
| Second Address | Irvine, CA 92604-1738 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/07/2006 |
| Last Update Date | 17/03/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000E40270 | BLUE SHIELD (01) | CA |
| 000E40272 | (05) | CA |
| 1316930001 | DNERC REG O (01) | CA |
| U64075 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.