| 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 |