institution
Visoth Chan, D.p.m., Inc.
Foot & Ankle Surgery Podiatrist in Mission Viejo, California
NPI 1134781206

Visoth Chan, D.p.m., Inc. is a Foot & Ankle Surgery Podiatrist based in Mission Viejo, CA and is specialized in Foot & Ankle Surgery. Visoth Chan, D.p.m., Inc. practices in Mission Viejo, CA. The NPI Number for Visoth Chan, D.p.m., Inc. is 1134781206 and holds a License No. (California).

The current practice location address for Visoth Chan, D.p.m., Inc. is 26732 Crown Valley Pkwy Ste 317, Mission Viejo, CA and can be reached out via phone at 949-364-2525 and via fax at 949-364-3322.

Location: 26732 Crown Valley Pkwy Ste 317, Mission Viejo, CA, 92691-6374
institution
Provider Profile Details
NPI Number
1134781206
Provider Name
Visoth Chan, D.p.m., Inc.
Credential
Provider Entity Type
Organization
Address
26732 Crown Valley Pkwy Ste 317, Mission Viejo, CA, 92691-6374
Phone Number
949-364-2525
Fax Number
949-364-3322
Provider Enumeration Date
06/28/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1669716791 05 CA
institution
Provider Business Practice Location Address Details
Address
26732 Crown Valley Pkwy Ste 317
City
State
Zip
92691-6374
Phone Number
949-364-2525
Fax Number
949-364-3322
person
Provider Business Mailing Address Details
Address
26732 Crown Valley Pkwy Ste 317
City
State
Zip
92691-6374
Phone Number
949-364-2525
Fax Number
949-364-3322
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
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Definition
Definition to come...
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