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Organization
GARDEN GROVE FOOT AND ANKLE CLINIC
Active
Organization
GARDEN GROVE FOOT AND ANKLE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KELVIN HUY TANG NGUYEN DPM (CEO)
(714) 638-2653
Entity
Organization
Contact information
Practice address
13310 EUCLID ST, GARDEN GROVE, CA 92843-2514
(714) 638-2653
(714) 638-0103
Mailing address
13310 EUCLID ST, GARDEN GROVE, CA 92843-2514
(714) 638-2653
(714) 638-0103
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E4912
CA
Other
Enumeration date
03/06/2015
Last updated
03/06/2015
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