| NPI | 1043489537 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIA E CORONADO Medical Biller 213-483-4246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: CA e3848) |
| Enumeration Date | 2008-02-28 |
| Last Update Date | 2012-02-10 |