# FOOT HEEL ANKLE PODIATRY CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588158026
- **Authorized official:** BRIAN WONG DPM (PRESIDENT)
- **Authorized official phone:** (714) 747-4126

## Contact information

- **Practice address:** 1520 N MOUNTAIN AVE \# E122, ONTARIO, CA 91762
- **Practice address phone:** (714) 696-8746
- **Mailing address:** 1850 S AZUSA AVE STE 306, HACIENDA HEIGHTS, CA 91745-6854

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NULL | Yes |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | — | Yes |

## Other

- **Enumeration date:** 06/19/2018
- **Last updated:** 06/23/2018