Provider Demographics
NPI:1033922307
Name:AMERICAN FOOT CLINIC A PODIATRY CORPORATION
Entity type:Organization
Organization Name:AMERICAN FOOT CLINIC A PODIATRY CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:IBRAHIM
Authorized Official - Middle Name:
Authorized Official - Last Name:AKKARI
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:657-254-6061
Mailing Address - Street 1:2376 N BAILEY ST
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92867-1809
Mailing Address - Country:US
Mailing Address - Phone:657-254-6061
Mailing Address - Fax:
Practice Address - Street 1:3816 WOODRUFF AVE STE 207
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90808-2145
Practice Address - Country:US
Practice Address - Phone:562-425-2113
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-30
Last Update Date:2025-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty