| NPI | 1043529522 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN EARL BLACK President 661-940-8888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: CA E2158) |
| Enumeration Date | 2010-09-30 |
| Last Update Date | 2010-10-12 |