Thu Kim Van in Garden Grove - Foot & Ankle Surgery
Thu Kim Van - NPI 1073577458
Thu Kim Van is a Foot & Ankle Surgery in Garden Grove, California. Thu Kim Van practices all healthcare services and medical treatments related to Foot & Ankle Surgery. The NPI Number for Thu Kim Van is 1073577458. The last update date is 2011-03-08.
Thu Kim Van's current location address is 12902 Brookhurst St, Garden Grove, California. You can contact this provider via phone number 7146363211 and fax number 7146365956. The mailing address for Thu Kim Van is 12902 Brookhurst St, Garden Grove, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Thu Kim Van |
|---|---|
| Address | 12902 Brookhurst St, Garden Grove, California |
| Phone Number | 7146363211 |
| Fax Number | 7146365956 |
| Sole Proprietor | Y |
| Credentials | D.P.M. |
NPI Number Detail
| NPI Number | 1073577458 |
|---|---|
| Provider Enumeration Date | 2006-04-13 |
| Last Updated Date | 2011-03-08 |
Provider Mailing Address Detail
| Address | 12902 Brookhurst St |
|---|---|
| City | Garden Grove |
| State | California (CA) |
| Post Code | 928404881 |
| Phone Number | 7146363211 |
| Fax Number | 7146365956 |
Provider's Primary Taxonomy Detail
| Speciality | Foot & Ankle Surgery |
|---|---|
| Taxonomy | 213Es0103X |
| Licence No | E3686 |
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Definition: A doctor of podiatric medicine who diagnoses and treats disorders and injuries to the foot, ankle and related structures. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| GRE000290 | CA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Thu Kim Van by the Centers for Medicare & Medicaid Services?
The Thu Kim Van has been issued the NPI (National Provider Identifier) 1073577458, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Thu Kim Van is physically located?
The Thu Kim Van is physically situated at the following address: 12902 Brookhurst St, Garden Grove, CA, 928404881.
What is the Thu Kim Van's specialty and taxonomy code?
The Thu Kim Van's specialty is Foot & Ankle Surgery, and the corresponding taxonomy code is 213Es0103X.
On what date was the 1073577458 assigned to Thu Kim Van?
The Thu Kim Van was issued its 1073577458 on 2006-04-13, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Thu Kim Van most recently updated or revised?
The information pertaining to Thu Kim Van, including its address, specialty, and other relevant details, was last updated or revised on 2011-03-08.