Organization
NICK L. GUNASAYAN, D.P.M., INC.
Active
Other names
Advance Foot & Ankle Associates
Organization subpart
No
Provider details
NPI number
Authorized official
PHUONG GUNASAYAN (CFO)
(805) 712-6867
Entity
Organization
Contact information
Practice address
862 MEINECKE AVE STE 204, SAN LUIS OBISPO, CA 93405-3703
(805) 540-5770
(888) 851-4755
Mailing address
PO BOX 759, GROVER BEACH, CA 93483-0759
(805) 712-6867
(888) 851-4755
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E4414
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
E4414
CALIFORNIA LICENSE
CA
Enumeration date
10/24/2006
Last updated
01/26/2024
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