| NPI | 1417458845 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVE QUANG HUYNH CEO/Director 669-226-5187 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: CA E5412) |
| Additional Taxonomies | 213ES0000X Podiatrist, Sports Medicine (Licence: CA E5412) |
| Enumeration Date | 2018-02-21 |
| Last Update Date | 2018-02-21 |