| NPI | 1063540235 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY W LE Director 818-345-3338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: CA E4333) |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2020-07-24 |