| NPI | 1689080251 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THONG TRUONG CEO 530-343-1666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: CA E4037) |
| Enumeration Date | 2014-07-03 |
| Last Update Date | 2014-07-03 |