| Visoth Chan, D.p.m., Inc. | |
|
26732 Crown Valley Pkwy Ste 317, Mission Viejo, CA 92691-6374 | |
| (949) 364-2525 | |
| (949) 364-3322 |
| Full Name | Visoth Chan, D.p.m., Inc. |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 26732 Crown Valley Pkwy Ste 317, Mission Viejo, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134781206 | NPI | - | NPPES |
| 1669716791 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | (* (Not Available)) | Primary |
| Provider Name | Visoth Chan |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1669716791 PECOS PAC ID: 1153561345 Enrollment ID: I20130711000625 |
| Provider Name | Samuel Meyers |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1659672590 PECOS PAC ID: 0648400309 Enrollment ID: I20140226000879 |
| Provider Name | David Hellewell |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1831452002 PECOS PAC ID: 4789995184 Enrollment ID: I20150720002864 |
| Provider Name | Benjamin Mcgrath |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1851805204 PECOS PAC ID: 4284986324 Enrollment ID: I20181017003014 |
| Provider Name | Han Nguyen |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1063918845 PECOS PAC ID: 7113253956 Enrollment ID: I20190731002514 |
| Provider Name | Stephanie Elizabeth Dal Porto-kujanpaa |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1770043929 PECOS PAC ID: 5294114963 Enrollment ID: I20220627001966 |
| Provider Name | Sandra Haider |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1992369060 PECOS PAC ID: 3870822760 Enrollment ID: I20220831001915 |
| Mailing Address | Practice Location Address |
|---|---|
| Visoth Chan, D.p.m., Inc. 26732 Crown Valley Pkwy Ste 317, Mission Viejo, CA 92691-6374 Ph: (949) 364-2525 | Visoth Chan, D.p.m., Inc. 26732 Crown Valley Pkwy Ste 317, Mission Viejo, CA 92691-6374 Ph: (949) 364-2525 |
Matt Ahmadi, Dpm, Inc. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 26800 Crown Valley Pkwy, Suite 320, Mission Viejo, CA 92691 Phone: 949-276-8900 Fax: 949-276-8901 | |
Jill R. Berlin, Dpm Inc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 26912 Carranza Dr, Mission Viejo, CA 92691 Phone: 949-581-2944 Fax: 949-768-2647 | |
Artisan Foot And Ankle Podiatric Specialists Inc Podiatrist Medicare: Medicare Enrolled Practice Location: 26691 Plaza Ste 201, Mission Viejo, CA 92691 Phone: 949-272-0007 Fax: 949-272-0006 | |
Dr. Victor V Cachia, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 26732 Crown Valley Pkwy, 317, Mission Viejo, CA 92691 Phone: 949-364-2525 Fax: 949-364-3322 | |
Sam Nosrati, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 26800 Crown Valley Pkwy Ste 420, Mission Viejo, CA 92691 Phone: 949-272-0007 Fax: 949-272-0006 | |
Kyle Hehe, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 26800 Crown Valley Pkwy Ste 420, Mission Viejo, CA 92691 Phone: 949-272-0007 Fax: 949-272-0006 |