Organization
WELLNESS FOOT AND ANKLE SURGERY CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DERRICK CHEUNG LEW D.P.M (DOCTOR)
(626) 288-8671
Entity
Organization
Contact information
Practice address
9310 VALLEY BLVD, SUITE A, ROSEMEAD, CA 91770-1924
(626) 288-8671
Mailing address
9310 VALLEY BLVD, SUITE A, ROSEMEAD, CA 91770-1924
(626) 288-8671
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E5066
CA
Other
Enumeration date
06/04/2013
Last updated
06/04/2013
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