| NPI | 1215776232 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WON HO RYAN HO CHANG Pewsident 949-484-4405 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0000X Podiatrist Sports Medicine |
| Additional Taxonomies | 111NS0005X Chiropractor Sports Physician |
| 207RS0010X Internal Medicine Sports Medicine | |
| 207XX0004X Orthopaedic Surgery Foot and Ankle Surgery | |
| 2080S0010X Pediatrics Sports Medicine | |
| 213EP1101X Podiatrist Primary Podiatric Medicine | |
| 213ES0103X Podiatrist Foot & Ankle Surgery | |
| 213ES0131X Podiatrist Foot Surgery | |
| 225100000X Physical Therapist | |
| 2251S0007X Physical Therapist Sports | |
| 225700000X Massage Therapist | |
| 225XP0019X Occupational Therapist Physical Rehabilitation | |
| 363LF0000X Nurse Practitioner Family | |
| Enumeration Date | 2024-05-20 |
| Last Update Date | 2024-05-20 |