Opd Foot and Ankle

Primary specialty

Podiatric Clinic/CenterTaxonomy code 261QP1100X

License

E4929 Issued in CA

Legal business name

OPD FOOT AND ANKLE

Practice address

855 N Lark Ellen Ave
Suite C
West Covina, CA 91791-1099

Phone

(626) 869-8769

Fax

(949) 579-2069

NPI assigned

Oct 20, 2014

Organization subpart

No

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

Authorized official

Name

Kenny Huang, DPMNPI 1417253147

Title

President

Phone

(626) 869-8769

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

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

• Kenny Keui-Hsiang Huang, DPM

  • Foot & Ankle Surgery Podiatrist
  • West Covina, CA
  • NPI 1417253147
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1413763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587081600000",
    "number": "1982008934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 LEAGUE UNIT 61200",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926027054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 N LARK ELLEN AVE",
            "address_2": "SUITE C",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917911099",
            "telephone_number": "626-869-8769",
            "fax_number": "949-579-2069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPD FOOT AND ANKLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-20",
        "last_updated": "2020-04-17",
        "certification_date": "2020-04-17",
        "status": "A",
        "authorized_official_last_name": "HUANG",
        "authorized_official_first_name": "KENNY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-869-8769",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "CA",
            "license": "E4929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Oriental Holistic Acupuncture Healthe Center Inc

• Podiatric Clinic/Center in West Covina, CA
• Providers in West Covina, 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 Apr 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.