| NPI | 1063920338 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL NORRIS CEO 510-914-1223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: FL PO3966) |
| Enumeration Date | 2018-01-19 |
| Last Update Date | 2020-03-10 |