Organization
GARDEN GROVE FOOT AND ANKLE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KELVIN HUY TANG NGUYEN DPM (CEO)
(714) 638-2653
Entity
Organization
Contact information
Practice address
13310 EUCLID ST, GARDEN GROVE, CA 92843-2514
(714) 638-2653
(714) 638-0103
Mailing address
13310 EUCLID ST, GARDEN GROVE, CA 92843-2514
(714) 638-2653
(714) 638-0103
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E4912
CA
Other
Enumeration date
03/06/2015
Last updated
03/06/2015
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