Wepman, Kenneth Jay
Wepman, Kenneth Jay is an sole proprietor health care provider with primary practice located at 3816 Woodruff Ave Suite #207, Long Beach CA 90808-2147. He recently has 5 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, Podiatric Medicine & Surgery Service Providers / Radiology, Podiatric Medicine & Surgery Service Providers / Sports Medicine, Podiatric Medicine & Surgery Service Providers / Foot Surgery. Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine is his primary health care specialty. Wepman, Kenneth Jay can be contacted via phone (562) 425-2113.Contact Information
Primary practice address
3816 Woodruff Ave Suite #207
Long Beach CA 90808-2147
Phone: (562) 425-2113
Fax: (562) 425-3044
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | E3594 | California |
| Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine | 213EP1101X | E3594 | California |
| Podiatric Medicine & Surgery Service Providers / Radiology | 213ER0200X | E3594 | California |
| Podiatric Medicine & Surgery Service Providers / Sports Medicine | 213ES0000X | E3594 | California |
| Podiatric Medicine & Surgery Service Providers / Foot Surgery | 213ES0131X | E3594 | California |
Profile Details
| NPI number | 1811920093 |
|---|---|
| LBN Legal business name | Wepman, Kenneth Jay |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 9th, 2006 |
| Last updated | Jul 18th, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811920093 | NPPES |
| California | MEDICAID | 000E35940 | |
| California | Other | 330426137 | |
| California | Other | 0826880001 |
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