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Organization
KTP FOOT AND ANKLE INC
Active
Organization
KTP FOOT AND ANKLE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN THANG DINH PHAM DPM (PRESIDENT)
(714) 654-4607
Entity
Organization
Contact information
Practice address
1855 N FAIR OAKS AVE # 200, PASADENA, CA 91103-1620
(626) 398-6300
Mailing address
9392 RUSSELL AVE, GARDEN GROVE, CA 92844-2354
(714) 654-4607
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
NULL
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Enumeration date
06/26/2019
Last updated
03/22/2020
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