Mercy Wound Healing & Medical Services, LLC

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

MERCY WOUND HEALING & MEDICAL SERVICES, LLC

Practice address

2240 Maurice Ave
La Crescenta, CA 91214-1533

Phone

(952) 465-2830

NPI assigned

Oct 7, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Steve Mingkuang Tung, DPMNPI 1013060847

Title

Podiatrist

Phone

(952) 465-2830

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Steve M Tung, DPM

  • Podiatrist
  • Los Angeles, CA
  • NPI 1013060847
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1728259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728259200000",
    "number": "1043039019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2240 MAURICE AVE",
            "city": "LA CRESCENTA",
            "state": "CA",
            "postal_code": "912141533",
            "telephone_number": "952-465-2830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2240 MAURICE AVE",
            "city": "LA CRESCENTA",
            "state": "CA",
            "postal_code": "912141533",
            "telephone_number": "952-465-2830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY WOUND HEALING & MEDICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-07",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A",
        "authorized_official_last_name": "TUNG",
        "authorized_official_first_name": "STEVE",
        "authorized_official_middle_name": "MINGKUANG",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "952-465-2830",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Miyoung Yoon Dental Corporation

• Podiatrist in La Crescenta, CA
• Providers in La Crescenta, CA by specialty
• Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.