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Organization
WELLNESS FOOT AND ANKLE SURGERY CLINIC INC
Active
Organization
WELLNESS FOOT AND ANKLE SURGERY CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DERRICK CHEUNG LEW D.P.M (DOCTOR)
(626) 288-8671
Entity
Organization
Contact information
Practice address
9310 VALLEY BLVD, SUITE A, ROSEMEAD, CA 91770-1924
(626) 288-8671
Mailing address
9310 VALLEY BLVD, SUITE A, ROSEMEAD, CA 91770-1924
(626) 288-8671
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E5066
CA
Other
Enumeration date
06/04/2013
Last updated
06/04/2013
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