| NPI | 1033667654 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | INEZ WONDEH COO 925-948-8143 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2016-09-12 |
| Last Update Date | 2018-03-09 |