Organization
REHAB FOOT THERAPY CLINIC
Active
Other names
REHAB FOOT THERAPY CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
THAN TRUONG DPM (CEO)
(714) 766-8441
Entity
Organization
Contact information
Practice address
1103 S HARBOR BLVD STE F, SANTA ANA, CA 92704-2347
(714) 717-0530
(714) 766-8441
Mailing address
1103 S HARBOR BLVD STE F, SANTA ANA, CA 92704-2347
(714) 717-0530
(714) 766-8441
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E4636
CA
Other
Enumeration date
11/30/2017
Last updated
11/30/2017
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