| NPI | 1134630981 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONG THANH MAI Podiatrist/Owner 714-465-2178 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP1100X Clinic/Center, Podiatric (Licence: CA A300277) |
| Enumeration Date | 2017-10-19 |
| Last Update Date | 2023-06-06 |