| NPI | 1053589408 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUE STERLING Executive Director Officer 805-928-5645 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: CA E2745) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2008-02-19 |
| Last Update Date | 2016-05-11 |