| NPI | 1013116219 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATT AHMADI President 949-276-8900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: CA E4539) |
| Enumeration Date | 2007-07-17 |
| Last Update Date | 2009-09-11 |