Mike C Jou DPM Inc

Primary specialty

Podiatric Clinic/CenterTaxonomy code 261QP1100X

License

E4187 Issued in CA

Legal business name

MIKE C JOU DPM INC

Practice address

501 N Harbor Blvd
La Habra, CA 90631-4060

Phone

(626) 820-0924

Fax

(626) 820-0925

NPI assigned

Oct 25, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Mike C Jou, D.P.M.

Title

Ceo

Phone

(626) 820-0924

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521590400000",
    "number": "1427133040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 N HARBOR BLVD",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "906314060",
            "telephone_number": "626-820-0924",
            "fax_number": "626-820-0925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 N HARBOR BLVD",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "906314060",
            "telephone_number": "626-820-0924",
            "fax_number": "626-820-0925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIKE C JOU DPM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2018-03-21",
        "status": "A",
        "authorized_official_last_name": "JOU",
        "authorized_official_first_name": "MIKE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "626-820-0924",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "CA",
            "license": "E4187",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5720332",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP ID",
            "identifier": "W20188",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000E41870",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Scott Middleton, M.D.
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• Mobile Health Providers, a Professional Corporation
• Modern Nuclear, Inc

• Podiatric Clinic/Center in La Habra, CA
• Providers in La Habra, CA by specialty
• Podiatric Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2018; 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.