NPI | 1053620377 |
---|---|
Entity Type | Organization |
Authorized Contact | LARRY R ANTHON President/Owner 951-278-5590 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP1100X Clinic/Center, Podiatric (Licence: CA E2667) |
Enumeration Date | 2010-10-04 |
Last Update Date | 2012-03-06 |