| Carson Foot Clinic A Podiatrist Group Inc | |
|
500 E Carson St, Ste 112, Carson, CA 90745-2713 | |
| (310) 518-3972 | |
| (310) 518-3998 |
| Full Name | Carson Foot Clinic A Podiatrist Group Inc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist |
| Location | 500 E Carson St, Carson, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154315034 | NPI | - | NPPES |
| 000E23510 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | E2351 (California) | Primary |
| Provider Name | Buu Kim Wong |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1306980107 PECOS PAC ID: 2466584412 Enrollment ID: I20100709000778 |
| Mailing Address | Practice Location Address |
|---|---|
| Carson Foot Clinic A Podiatrist Group Inc 500 E Carson St, Ste 112, Carson, CA 90745-2713 Ph: (310) 518-3972 | Carson Foot Clinic A Podiatrist Group Inc 500 E Carson St, Ste 112, Carson, CA 90745-2713 Ph: (310) 518-3972 |
Buu Kim Wong, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 500 E Carson St, Ste 112, Carson, CA 90745 Phone: 310-518-3972 Fax: 310-518-3998 | |
Tagaloa-tulifau Foot And Ankle Center, Inc. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 23517 Main St Ste 105, Carson, CA 90745 Phone: 424-450-0950 Fax: 562-925-7371 |