| NPI | 1053362608 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN TORREGOSA TIONGSON Podiatrist 818-238-9892 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: CA E4600) |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2020-08-22 |