Provider Demographics
NPI:1275026478
Name:A STEP ABOVE FOOT CARE INC
Entity Type:Organization
Organization Name:A STEP ABOVE FOOT CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MARJORIE
Authorized Official - Middle Name:
Authorized Official - Last Name:KHAWAM
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:562-429-5300
Mailing Address - Street 1:3816 WOODRUFF AVE STE 302
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90808-2146
Mailing Address - Country:US
Mailing Address - Phone:562-429-5300
Mailing Address - Fax:562-429-0535
Practice Address - Street 1:3816 WOODRUFF AVE STE 302
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90808-2146
Practice Address - Country:US
Practice Address - Phone:562-429-5300
Practice Address - Fax:562-429-0535
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-12
Last Update Date:2018-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1200XAmbulatory Health Care FacilitiesClinic/CenterMagnetic Resonance Imaging (MRI)