Organization
WEST LA FOOT DOCTOR INC.
Active
Other names
Tiongson Foot & Ankle Care Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN TIONGSON DPM (OWNER)
(310) 339-2947
Entity
Organization
Contact information
Practice address
425 W BONITA AVE STE 110, SAN DIMAS, CA 91773-2543
(909) 599-0981
(909) 592-0738
Mailing address
425 W BONITA AVE STE 110, SAN DIMAS, CA 91773-2543
(909) 599-0981
(909) 599-0738
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E4600
CA
Other
Enumeration date
03/11/2015
Last updated
05/05/2021
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