# REHAB FOOT THERAPY CLINIC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** REHAB FOOT THERAPY CLINIC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912411752
- **Authorized official:** THAN TRUONG DPM (CEO)
- **Authorized official phone:** (714) 766-8441

## Contact information

- **Practice address:** 1103 S HARBOR BLVD STE F, SANTA ANA, CA 92704-2347
- **Practice address phone:** (714) 717-0530
- **Practice address fax:** (714) 766-8441
- **Mailing address:** 1103 S HARBOR BLVD STE F, SANTA ANA, CA 92704-2347
- **Mailing address phone:** (714) 717-0530
- **Mailing address fax:** (714) 766-8441

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | E4636 | CA | Yes |

## Other

- **Enumeration date:** 11/30/2017
- **Last updated:** 11/30/2017