Organization
OPD FOOT AND ANKLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNY HUANG DPM (PRESIDENT)
(626) 869-8769
Entity
Organization
Contact information
Practice address
855 N LARK ELLEN AVE, SUITE C, WEST COVINA, CA 91791-1099
(626) 869-8769
(949) 579-2069
Mailing address
1 LEAGUE UNIT 61200, IRVINE, CA 92602-7054
Taxonomy
Speciality
Code
Description
License number
State
261QP1100X
Podiatric Clinic/Center
Primary
E4929
CA
Other
Enumeration date
10/20/2014
Last updated
04/17/2020
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