| NPI | 1265730493 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAI T TRAN Owner 619-287-4740 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: CA E4624) |
| Enumeration Date | 2011-03-11 |
| Last Update Date | 2011-03-11 |