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Organization
REHAB FOOT THERAPY CLINIC
Active
Organization
REHAB FOOT THERAPY CLINIC
Active
Other names
REHAB FOOT THERAPY CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
THAN TRUONG DPM (CEO)
(714) 766-8441
Entity
Organization
Contact information
Practice address
1103 S HARBOR BLVD STE F, SANTA ANA, CA 92704-2347
(714) 717-0530
(714) 766-8441
Mailing address
1103 S HARBOR BLVD STE F, SANTA ANA, CA 92704-2347
(714) 717-0530
(714) 766-8441
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E4636
CA
Other
Enumeration date
11/30/2017
Last updated
11/30/2017
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