Organization Active NPI

Universal Footcare and Podiatry, Inc

  • Podiatric Clinic/Center
  • Glendale, CA
National Provider Identifier
1720419302
Registry record updated Dec 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Podiatric Clinic/CenterTaxonomy code 261QP1100X
License
E4519 Issued in CA
Legal business name
UNIVERSAL FOOTCARE AND PODIATRY, INC
Practice address
541 W Colorado St
Ste. 206
Glendale, CA 91204-3638
Phone
(818) 244-4008
NPI assigned
Dec 6, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2013

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

Authorized official

Name
Seong M Yoo, DPM
Title
Ceo
Phone
(818) 244-4008

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatric Clinic/Center 261QP1100X E4519 CA Primary

Addresses

Primary practice location

541 W Colorado St
Ste. 206
Glendale, CA 91204-3638

Mailing address

541 W Colorado St
Ste. 206
Glendale, CA 91204-3638
Phone (818) 244-4008

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1386288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386892800000",
    "number": "1720419302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "541 W COLORADO ST",
            "address_2": "STE. 206",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912043638",
            "telephone_number": "818-244-4008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "541 W COLORADO ST",
            "address_2": "STE. 206",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912043638",
            "telephone_number": "818-244-4008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSAL FOOTCARE AND PODIATRY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-06",
        "last_updated": "2013-12-13",
        "status": "A",
        "authorized_official_last_name": "YOO",
        "authorized_official_first_name": "SEONG",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-244-4008",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "CA",
            "license": "E4519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2013; 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.