| NPI | 1083854517 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN DEBORAH DE JESUS Management 760-200-8588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NC 409) |
| Enumeration Date | 2009-02-24 |
| Last Update Date | 2019-02-19 |