person
Visoth Chan, DPM
Foot & Ankle Surgery Podiatrist in Mission Viejo, California
NPI 1669716791

Visoth Chan is a Foot & Ankle Surgery Podiatrist based in Long Beach, CA and is specialized in Foot & Ankle Surgery. Visoth Chan practices in Mission Viejo, CA and has the professional credentials of DPM. The NPI Number for Visoth Chan is 1669716791 and holds a License No. E5026 (California).

The current practice location address for Visoth Chan is 26732 Crown Valley Pkwy, 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, Mission Viejo, CA, 90805-6221
person
Provider Profile Details
NPI Number
1669716791
Provider Name
Visoth Chan
Credential
DPM
Provider Entity Type
Individual
Gender
Female
Address
26732 Crown Valley Pkwy, Mission Viejo, CA, 90805-6221
Phone Number
949-364-2525
Fax Number
949-364-3322
Provider Enumeration Date
11/15/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
HI205Z 01 CA PTAN
institution
Provider Business Practice Location Address Details
Address
26732 Crown Valley Pkwy
City
State
Zip
92691-6306
Phone Number
949-364-2525
Fax Number
949-364-3322
person
Provider Business Mailing Address Details
Address
26732 Crown Valley Pkwy
City
State
Zip
92691-6306
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.
E5026 (California)
Definition
Definition to come...
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