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Thu Kim Van, D.P.M.

Podiatrist, Foot & Ankle Surgery in Garden Grove, CA. Individual provider (NPI-1).

NPI number1073577458
StatusActive
Last updated in NPPESMar 8, 2011

Details

NPI
1073577458
Entity type
Individual (NPI-1)
Name
Thu Kim Van
Credential
D.P.M.
Sex
Female
Sole proprietor
Yes
Enumeration date
Apr 13, 2006
Last updated
Mar 8, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
213ES0103X Podiatrist, Foot & Ankle SurgeryE3686CAYes

Practice location

12902 Brookhurst St
Suite B
Garden Grove, CA 92840-4881

Phone 714-636-3211 · Fax 714-636-5956

Mailing address

12902 Brookhurst St
Suite B
Garden Grove, CA 92840-4881

Phone 714-636-3211 · Fax 714-636-5956

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Other Foot & Ankle Surgery Podiatrist providers in Garden Grove, CA

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