| NPI | 1194401422 |
|---|---|
| Other Name | T AND R PODIATRY |
| Entity Type | Organization |
| Authorized Contact | WON HO CHANG CEO 949-484-4405 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Enumeration Date | 2023-06-22 |
| Last Update Date | 2025-09-02 |