| NPI | 1083969018 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YVETTE URETA Medical Assistant 323-782-8586 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: CA E4103) |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: CA E4103) |
| Enumeration Date | 2012-07-16 |
| Last Update Date | 2012-07-16 |