Individual
DR. MIKE C JOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
501 N HARBOR BLVD, LA HABRA, CA 90631-4060
(626) 820-0924
(626) 820-0925
Mailing address
501 N HARBOR BLVD, LA HABRA, CA 90631-4060
(626) 820-0924
(626) 820-0925
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
E4187
CA
213ES0000X
Sports Medicine Podiatrist
E4187
CA
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E4187
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000E41870
—
CA
05
—
5720332
—
CA
01
—
W20188
MEDICARE GROUP ID
CA
Enumeration date
06/14/2006
Last updated
12/01/2021
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