Provider Demographics
NPI:1083730568
Name:ERIC WEE, D.P.M., INC.
Entity Type:Organization
Organization Name:ERIC WEE, D.P.M., INC.
Other - Org Name:FOCUSED FOOT CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:
Authorized Official - Last Name:WEE
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:310-963-6229
Mailing Address - Street 1:17521 CRENSHAW BLVD
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90504-3403
Mailing Address - Country:US
Mailing Address - Phone:310-963-6229
Mailing Address - Fax:
Practice Address - Street 1:17521 CRENSHAW BLVD
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90504-3403
Practice Address - Country:US
Practice Address - Phone:310-963-6229
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-22
Last Update Date:2013-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAE4161213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAW16892Medicare ID - Type UnspecifiedGROUP PROVIDER NUMBER