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Organization
BAY AREA FOOT AND ANKLE MEDICAL CLINIC
Active
Organization
BAY AREA FOOT AND ANKLE MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHENGSHENG GUAN D.P.M. (CEO)
(408) 518-2504
Entity
Organization
Contact information
Practice address
3150 ALMADEN EXPY STE 205, SAN JOSE, CA 95118-1253
(650) 762-9855
Mailing address
353 CORNELL AVE, HAYWARD, CA 94544-8205
(408) 518-2504
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
NULL
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Enumeration date
06/24/2020
Last updated
07/20/2020
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