| NPI | 1043741358 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRANG DUONG CEO 626-361-7055 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: CA E5164) |
| Additional Taxonomies | 261QA0600X Clinic/Center Adult Day Care |
| Enumeration Date | 2017-03-27 |
| Last Update Date | 2023-03-07 |