| NPI | 1043339260 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETE CARRASCO Doctor Of Podiatric Medicine 951-212-6661 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: CA E3608) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2012-11-11 |