| NPI | 1043681497 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW DO President 714-317-8210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213EP1101X Podiatrist Primary Podiatric Medicine |
| Additional Taxonomies | 208D00000X General Practice |
| 213ES0103X Podiatrist Foot & Ankle Surgery | |
| Enumeration Date | 2015-10-12 |
| Last Update Date | 2015-10-12 |