Broadway Podiatry Clinic

LBN: Broadway Podiatry Clinic
Broadway Podiatry Clinic is an health care organization with primary practice located at 915 Redondo Ave , Long Beach CA 90804-5132. The organization recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as the primary health care specialty. Broadway Podiatry Clinic can be contacted via phone (562) 987-2626, or through Mc Cabe, James L via phone (562) 987-2626.

Contact Information

Primary practice address
915 Redondo Ave Long Beach CA 90804-5132
Phone: (562) 987-2626
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mc Cabe, James L Doctor of Podiatric Medicine (DPM)
Phone: (562) 987-2626

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X E2093 California

Profile Details

NPI number 1306991922
LBN Legal business name Broadway Podiatry Clinic
DBA Doing business as
Authorized official Mc Cabe, James L Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 24th, 2007
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306991922 NPPES
California MEDICAID 000E20930

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