| NPI | 1003517699 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAHFOUZ MICHAEL Owner 323-999-8267 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 213E00000X Podiatrist |
| 261QP1100X Clinic/Center, Podiatric | |
| 207Q00000X Family Medicine | |
| Enumeration Date | 2023-03-13 |
| Last Update Date | 2023-03-13 |