Provider Demographics
NPI:1366570772
Name:KINGS FOOT AND ANKLE CENTER, INC.
Entity type:Organization
Organization Name:KINGS FOOT AND ANKLE CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHINH
Authorized Official - Middle Name:D
Authorized Official - Last Name:NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:559-584-5196
Mailing Address - Street 1:806 W 7TH ST
Mailing Address - Street 2:
Mailing Address - City:HANFORD
Mailing Address - State:CA
Mailing Address - Zip Code:93230-4926
Mailing Address - Country:US
Mailing Address - Phone:559-584-5196
Mailing Address - Fax:559-584-9807
Practice Address - Street 1:806 W 7TH ST
Practice Address - Street 2:
Practice Address - City:HANFORD
Practice Address - State:CA
Practice Address - Zip Code:93230-4926
Practice Address - Country:US
Practice Address - Phone:559-584-5196
Practice Address - Fax:559-584-9807
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-28
Last Update Date:2020-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAU82982Medicare UPIN
CAT11578Medicare UPIN
CA0217680001Medicare NSC