Widerynski Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

WIDERYNSKI INC

Doing business as

Foot Solutions

Practice address

1811 Ximeno Ave
Long Beach, CA 90815-2850

Phone

(562) 961-3200

Fax

(562) 961-3201

NPI assigned

May 24, 2007

Organization subpart

No

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

Authorized official

Name

Miss Karen Widerynski

Title

Owner

Phone

55629613200

Specialties & licenses 1

Addresses

Other names 1

• Foot Solutions Doing business as

Locations

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202428800000",
    "number": "1063623668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1811 XIMENO AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908152850",
            "telephone_number": "562-961-3200",
            "fax_number": "562-961-3201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1811 XIMENO AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908152850",
            "telephone_number": "562-961-3200",
            "fax_number": "562-961-3201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WIDERYNSKI INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2008-02-08",
        "status": "A",
        "authorized_official_last_name": "WIDERYNSKI",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "55629613200",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Foot Solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Josilyn Wick Coronel, M.S., LMFT 114807
• Alexsa Wicker, MFTI85297
• Quiana Wicks, P.A.- C
• Suzanne Wickum, O.D.
• Myeshia Alexandria Widby
• Cameron Widhalm
• Clifford Brian Widmark, M.D.
• Jada Oclarino Widmeier
• Sarah M Wied, D.O.
• Whitney Wiedeman, NP

• Durable Medical Equipment & Medical Supplies in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2008; 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.