Organization
ALIGN FOOT AND ANKLE CENTER INC A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HAI-EN PENG DPM (OWNER)
(805) 482-0711
Entity
Organization
Contact information
Practice address
2460 N PONDEROSA DR, A-105, CAMARILLO, CA 93010-2398
(805) 482-0711
(805) 482-6524
Mailing address
2460 N PONDEROSA DR STE A105, CAMARILLO, CA 93010-2375
(805) 482-0711
(805) 482-6524
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E4368
CA
Other
Enumeration date
03/21/2017
Last updated
09/16/2020
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