UNIVERSAL FOOT AND ANKLE CLINIC (NPI# 1588678445) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588678445 |
| Entity Type | Organization |
| Organization Name | UNIVERSAL FOOT AND ANKLE CLINIC |
| Practice Address |
3130 W Olympic Blvd Suite 170 Los Angeles CA 90006-2484 |
| Practice Telephone | 3237327551 |
| Practice Fax Number | 3237327829 |
| Mailing Telephone | 3237327551 |
| Mailing Fax Number | 3237327829 |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2008-01-21 |
| Authorized Official Name | DR. STEPHEN SIM (PRESIDENT) |
| Authorized Official Telephone | 3237327551 |
| Authorized Official Credential | D.P.M. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
E4172 | CA | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 000E41720 | 05 |
| Street Address |
3130 W OLYMPIC BLVD SUITE 170 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90006-2484 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285653808 | Stephen Sim | Podiatrist | 3130 W Olympic Blvd, Suite 170, Los Angeles, CA 90006-2484 | 2006-07-18 |
| 1447740493 | Varicose Relief Inc | Internal Medicine | 3130 W Olympic Blvd, Suite 360, Los Angeles, CA 90006-2484 | 2018-05-15 |
| 1952702458 | John C. Kang, Md, A Professional Corporation | Surgery | 3130 W Olympic Blvd, Suite 340, Los Angeles, CA 90006-2484 | 2014-09-16 |
| 1811253974 | Providence Foot and Ankle Center, Inc. | Non-Pharmacy Dispensing Site | 3130 W Olympic Blvd, Suite 170, Los Angeles, CA 90006-2484 | 2012-04-03 |
| 1710281951 | Kwang Ho Lee | Hearing Instrument Specialist | 3130 W Olympic Blvd, Suite 290, Los Angeles, CA 90006-2484 | 2011-01-03 |
| 1720381635 | Alpha Rehab Center, Inc. | Physical Therapist | 3130 W Olympic Blvd, Ste 280, Los Angeles, CA 90006-2484 | 2010-12-15 |
| 1235453747 | Eunjoo Julie Park | Optometrist | 3130 W Olympic Blvd, Suite 105, Los Angeles, CA 90006-2484 | 2010-03-26 |
| 1851522254 | Providence Foot and Ankle Center | Clinic/Center | 3130 W Olympic Blvd, Suite 170, Los Angeles, CA 90006-2484 | 2009-08-03 |
| 1154557734 | La Lee Obgyn Medical Associate | Obstetrics & Gynecology | 3130 W Olympic Blvd, Suite 360, Los Angeles, CA 90006-2484 | 2009-06-09 |
| 1487802856 | Bok Nam Park | Dentist | 3130 W Olympic Blvd, #330, Los Angeles, CA 90006-2494 | 2008-08-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114583549 | Ruahrena Corporation | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 3053 West Olympic Boulevard, Suite 301, Los Angeles, CA 90006 | 2019-05-10 |
| 1770048266 | Luxi Optometry, Inc | Ophthalmology | 3250 W. Olympic Blvd #221, Los Angeles, CA 90006 | 2019-02-08 |
| 1053895565 | Lili Mirtorabi D.d.s A Professional Corporation | Dentist | 2368 Pico Boulevard, Los Angeles, CA 90006 | 2018-09-20 |
| 1083192116 | Sanghee Hong | Nurse Practitioner | 2655 W Olympic Blvd Ste 101, Los Angeles, CA 90006 | 2018-07-31 |
| 1134638919 | Joon Hyung Kim | Chiropractor | 3130 W. Olympic Blvd., Suite 350, Los Angeles, CA 90006 | 2017-09-25 |
| 1578082988 | Judy Lee | Behavior Technician | 900 South Serrano Ave #401, Los Angeles, CA 90006 | 2017-09-18 |
| 1689126773 | Seungah Madison Lee | Acupuncturist | 3053 W. Olympic Blvd, #311, Los Angeles, CA 90006 | 2016-10-25 |
| 1790149789 | Kihyun Kim | Acupuncturist | 975 S. Vermont Ave, #201, Los Angeles, CA 90006 | 2016-04-06 |
| 1407215486 | Young Zoo Kim | Acupuncturist | 1001 S. Vermont Ave, #207, L.a., CA 90006 | 2016-02-18 |
| 1376916817 | Global Eastern Medicine Group | Acupuncturist | 1010 S. Fedora St. #101, Los Angeles, CA 90006 | 2015-11-05 |
| Find all providers in zip 90006 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780215210 | Albert Elhiani Dpm Inc | Podiatrist | 9340 W Pico Blvd Ste 2, Los Angeles, CA 90035-1255 | 2020-02-03 |
| 1184285090 | Marcela Leticia Orellana Galvez | Podiatrist | 11301 Wilshire Blvd Bldg 500, Dept of Surgery, #10-h-2, Los Angeles, CA 90073 | 2019-06-23 |
| 1467960690 | Jonathan Tavakoli | Podiatrist | 11932 Goshen Ave Ph 1, Los Angeles, CA 90049-7309 | 2018-01-22 |
| 1356899231 | Tehrani Foot and Ankle, Inc. | Podiatrist | 2514 S Central Ave, Los Angeles, CA 90011-1635 | 2016-09-20 |
| 1316301807 | Lucas Hultman | Podiatrist | 100 Ucla Medical Plaza Suite 460, Los Angeles, CA 90095 | 2016-04-11 |
| 1164887048 | University Foot & Ankle Institute Podiactric Surgical Center | Podiatrist | 5230 Pacific Concourse Drive, Suite 100, Los Angeles, CA 90045 | 2015-12-21 |
| 1447670955 | New Hope Podiatry Group Inc. | Podiatrist | 3612 1/2 E. First Street, Los Angeles, CA 90063-2326 | 2014-04-23 |
| 1275974487 | Anthony Cannizzaro | Podiatrist | 3158 Federal Ave, Los Angeles, CA 90066-1225 | 2013-07-16 |
| 1235576968 | Jim Kasha | Podiatrist | 3016 Waverly Dr, Suite 308, Los Angeles, CA 90039-2052 | 2013-06-04 |
| 1285993451 | Benjamin Tehrani | Podiatrist | 2514 S. Central Avenue, Los Angeles, CA 90011 | 2012-05-09 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90006 |
Please comment or provide details below to improve the information on UNIVERSAL FOOT AND ANKLE CLINIC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.