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PROVIDENCE FOOT AND ANKLE CENTER
NPI 1851522254
Clinic/Center - Podiatric in Los Angeles, CA

Active since August 03, 2009
3130 W OLYMPIC BLVD, SUITE 170, LOS ANGELES, CA 90006(323) 732-7551(323) 732-7829 Get Directions Write a Review

NPPES record last updated: March 28, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Providence Foot And Ankle Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROVIDENCE FOOT AND ANKLE CENTER (NPI 1851522254) is a healthcare organization registered as a podiatric in Los Angeles, California and active in the NPI registry since August 2009. The organization lists Peter Sang-wook Park, Podiatrist/ceo, as its authorized official.

NPPES Registry Identity

NPI1851522254
Entity TypeOrganization
Primary Taxonomy261QP1100X
Legal Business NamePROVIDENCE FOOT AND ANKLE CENTER
Location Address3130 W OLYMPIC BLVD, SUITE 170Los Angeles, CA 90006-2484
Mailing Address1417 Stein Strauss StFullerton, CA 92833-2159 · (714) 797-3668
Phone(323) 732-7551
Fax(323) 732-7829
Organization SubpartNo
Authorized OfficialPeter Sang-wook ParkPodiatrist/ceo · (323) 732-7551
Enumeration DateAugust 3, 2009
Last NPPES UpdateMarch 28, 2020
NPPES CertifiedMarch 28, 2020
✔ NPI 1851522254 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · PodiatricAmbulatory Health Care Facilities
Taxonomy Code261QP1100X
License✔ Licensed in CA · E4031
3130 W OLYMPIC BLVD, Los Angeles, CA 90006
Open in Google Maps ↗

Other Identifiers 1

OtherCE810ZCA · Ptan

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SANGJOON J LEE M.D.
Obstetrics & Gynecology
3130 W OLYMPIC BLVD, SUITE 360
LOS ANGELES, CA 90006
Los Angeles County (323) 735-0100
LA LEE OBGYN MEDICAL ASSOCIATE
Obstetrics & Gynecology
3130 W OLYMPIC BLVD, SUITE 360
LOS ANGELES, CA 90006
Los Angeles County (323) 735-0100
DR. EUNJOO JULIE PARK O.D.
Optometrist
3130 W OLYMPIC BLVD, SUITE 105
LOS ANGELES, CA 90006
Los Angeles County (323) 735-9286
DR. STEPHEN SIM DPM
Podiatrist (Foot & Ankle Surgery)
3130 W OLYMPIC BLVD, SUITE 170
LOS ANGELES, CA 90006
Los Angeles County (323) 732-7551
KUNWOO L KIM
Pharmacy (Community/Retail Pharmacy)
3130 W OLYMPIC BLVD, SUITE 150
LOS ANGELES, CA 90006
Los Angeles County (323) 732-1911
VARICOSE RELIEF INC
Internal Medicine (Pulmonary Disease)
3130 W OLYMPIC BLVD, SUITE 360
LOS ANGELES, CA 90006
Los Angeles County (323) 733-1004
UNIVERSAL FOOT AND ANKLE CLINIC
Podiatrist (Foot & Ankle Surgery)
3130 W OLYMPIC BLVD, SUITE 170
LOS ANGELES, CA 90006
Los Angeles County (323) 732-7551
KWANG HO LEE
Hearing Instrument Specialist
3130 W OLYMPIC BLVD, SUITE 290
LOS ANGELES, CA 90006
Los Angeles County (323) 731-6842

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Providence Foot And Ankle Center's NPI number?

The NPI number for Providence Foot And Ankle Center is 1851522254. It was assigned to this organization in the NPPES registry on August 3, 2009.

Where is Providence Foot And Ankle Center located?

Providence Foot And Ankle Center is located at 3130 W Olympic Blvd Suite 170, Los Angeles, CA 90006. The listed phone number is (323) 732-7551.

What is Providence Foot And Ankle Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Podiatric, with taxonomy code 261QP1100X.

When was this NPI record last updated?

The NPPES record for Providence Foot And Ankle Center was last updated on March 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.