GARDEN GROVE PODIATRY NPI 1447847546

NPI Information

GARDEN GROVE PODIATRY is a foot and ankle surgery podiatrist in Garden Grove, CA. GARDEN GROVE PODIATRY NPI is 1447847546. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

12665 GARDEN GROVE BLVD STE 203
GARDEN GROVE, CA
ZIP 92843-916
Phone: (714) 620-4699
Fax: (888) 866-7055

The provider's authorized official is Marie Shin .
The authorized official title is President and has the following contact phone number (714) 620-4699.

The enumeration date for this NPI number is 12/23/2020 and was last updated on 9/21/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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