| NPI | 1053507335 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDY WEINER Business Manager 916-454-3668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: CA E2459) |
| Enumeration Date | 2007-09-19 |
| Last Update Date | 2007-11-14 |