| NPI | 1568119055 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIEN PHUC TRAN President 714-386-2404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 171100000X Acupuncturist |
| 213ES0103X Podiatrist, Foot & Ankle Surgery | |
| Enumeration Date | 2022-03-04 |
| Last Update Date | 2022-11-23 |