Individual provider · Type 1 NPI

Visoth Chan, DPM

Foot & Ankle Surgery Podiatrist · Mission Viejo, CA

NPI number 1669716791 Active

Practice location

26732 Crown Valley Pkwy, Suite 317
Mission Viejo, CA 92691-6306

Call (949) 364-2525 Map

Fax (949) 364-3322

Mailing address

1725 E Jackson St
Long Beach, CA 90805-6221

Specialties and licenses

TaxonomyCodeLicense
Foot & Ankle Surgery Podiatrist Primary 213ES0103XE5026 (CA)

Foot & Ankle Surgery Podiatrist: Definition to come...

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About NPI 1669716791

Visoth Chan, DPM's National Provider Identifier is 1669716791, issued on Nov 15, 2012. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Mission Viejo, CA. The record was last updated on Aug 5, 2013.