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Organization
AMBULATORY FOOT CARE PODIATRY CLINIC, INC.
Active
Organization
AMBULATORY FOOT CARE PODIATRY CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THU KIM VAN D.P.M. (CEO)
(714) 636-3211
Entity
Organization
Contact information
Practice address
12902 BROOKHURST ST, SUITE B, GARDEN GROVE, CA 92840-4881
(714) 636-3211
(714) 636-5956
Mailing address
12902 BROOKHURST ST, SUITE B, GARDEN GROVE, CA 92840-4881
(714) 636-3211
(714) 636-5956
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E3686
CA
Other
Enumeration date
09/10/2007
Last updated
12/26/2023
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