person
Dr. Nick Laddhaphol Gunasayan, DPM
Foot & Ankle Surgery Podiatrist in San Luis Obispo, California
NPI 1417903337

Nick Laddhaphol Gunasayan is a Foot & Ankle Surgery Podiatrist based in Grover Beach, CA and is specialized in Foot & Ankle Surgery. Nick Laddhaphol Gunasayan practices in San Luis Obispo, CA and has the professional credentials of DPM. The NPI Number for Nick Laddhaphol Gunasayan is 1417903337 and holds a License No. E4414 (California).

The current practice location address for Nick Laddhaphol Gunasayan is 862 Meinecke Ave Ste 204, San Luis Obispo, CA and can be reached out via phone at 805-540-5770 and via fax at 888-851-4755.

Location: 862 Meinecke Ave Ste 204, San Luis Obispo, CA, 93483-0759
person
Provider Profile Details
NPI Number
1417903337
Provider Name
Nick Laddhaphol Gunasayan
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
862 Meinecke Ave Ste 204, San Luis Obispo, CA, 93483-0759
Phone Number
805-540-5770
Fax Number
888-851-4755
Provider Enumeration Date
05/25/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
E4414 01 CA STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
862 Meinecke Ave Ste 204
City
State
Zip
93405-3703
Phone Number
805-540-5770
Fax Number
888-851-4755
person
Provider Business Mailing Address Details
Address
862 Meinecke Ave Ste 204
City
State
Zip
93405-3703
Phone Number
805-540-5770
Fax Number
888-851-4755
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
E4414 (California)
Definition
Definition to come...
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