Daniel Kim
Podiatrist, Foot & Ankle Surgery in Roseville, CA. Individual provider (NPI-1).
NPI number1427581016
StatusActive
Last updated in NPPESOct 13, 2023
Details
- NPI
- 1427581016
- Entity type
- Individual (NPI-1)
- Name
- Daniel Kim
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 10, 2017
- Certification date
- Oct 13, 2023
- Last updated
- Oct 13, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 213ES0103X | Podiatrist, Foot & Ankle Surgery | E5625 | CA | Yes |
Practice location
3 Medical Plaza Dr Ste 110Roseville, CA 95661-3088
Phone 916-773-7905
Mailing address
Po Box 255228Sacramento, CA 95865-5228
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