| NPI | 1073044236 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAI-EN PENG Owner 805-482-0711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: CA E4368) |
| Enumeration Date | 2017-03-21 |
| Last Update Date | 2020-09-16 |