Organization
ELITE ATLANTIC FOOT & ANKLE CLINIC
Active
Organization
ELITE ATLANTIC FOOT & ANKLE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KELVIN NGUYEN (PRESIDENT)
(714) 638-2653
Entity
Organization
Contact information
Practice address
925 S ATLANTIC BLVD STE 102, MONTEREY PARK, CA 91754-1063
(714) 638-2653
Mailing address
13310 EUCLID ST, GARDEN GROVE, CA 92843-2514
(714) 638-2653
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
—
—
Other
Enumeration date
04/27/2020
Last updated
04/27/2020
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