| NPI | 1588068191 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KHAN DUONG Podiatrist 714-705-0737 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA A86632) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: CA A64097) |
| 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: CA E4237) | |
| Enumeration Date | 2014-10-13 |
| Last Update Date | 2015-09-08 |