| NPI | 1811050859 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KHANH DUONG Director 714-697-9939 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: CA E4237) |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2007-08-01 |