| NPI | 1043245525 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY JAY BOYKOFF President 310-451-1618 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213EP1101X Podiatrist Primary Podiatric Medicine (Licence: CA E2764) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2008-04-20 |