| NPI | 1366879561 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THAN TRUONG Director 626-417-9218 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: CA E4636) |
| Enumeration Date | 2013-10-02 |
| Last Update Date | 2013-10-08 |