Provider Demographics
NPI:1912329202
Name:ALLCARE FOOT AND ANKLE CLINIC
Entity Type:Organization
Organization Name:ALLCARE FOOT AND ANKLE CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:EUNAH
Authorized Official - Middle Name:
Authorized Official - Last Name:HONG
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:710-522-7731
Mailing Address - Street 1:PO BOX 370515
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89137-0515
Mailing Address - Country:US
Mailing Address - Phone:702-522-7731
Mailing Address - Fax:702-522-7832
Practice Address - Street 1:7350 W CHEYENNE AVE
Practice Address - Street 2:SUITE 110
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89129-7445
Practice Address - Country:US
Practice Address - Phone:702-522-7731
Practice Address - Fax:702-522-7832
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-06
Last Update Date:2014-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV1207213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty