Organization
VISOTH CHAN, D.P.M., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIGUEL ANGEL CHUC MS (HR)
(949) 364-2525
Entity
Organization
Contact information
Practice address
26732 CROWN VALLEY PKWY STE 317, MISSION VIEJO, CA 92691-6374
(949) 364-2525
(949) 364-3322
Mailing address
26732 CROWN VALLEY PKWY STE 317, MISSION VIEJO, CA 92691-6374
(949) 364-2525
(949) 364-3322
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1669716791
—
CA
Enumeration date
06/28/2019
Last updated
02/28/2020
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