MEDICARE: DR. EDWARD S RHEE DPM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213ES0103X	Foot & Ankle Surgery Podiatrist	E3845	CA

General Provider Information

NPI Number	:	1164434676
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. EDWARD S RHEE DPM

Provider Business Mailing Address
First Line	:	966 S WESTERN AVE
Second Line	:	SUITE 205
City	:	LOS ANGELES
State	:	CA
Zip	:	90006-1013
Country	:	US
Telephone Number	:	323-733-1500
Fax Number	:	323-733-1724

Provider Business Practice Location Address
First Line	:	966 S WESTERN AVE
Second Line	:	SUITE 205
City	:	LOS ANGELES
State	:	CA
Zip	:	90006-1013
Country	:	US
Telephone Number	:	323-733-1500
Fax Number	:	323-733-1724

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/13/2006
Last Update Date	:	04/21/2016

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Directions to “ DR. EDWARD S RHEE DPM” Practice Location

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