| NPI | 1093986887 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANICE SUBOTNICK Office Manager 510-614-5633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: CA E1340) |
| Enumeration Date | 2008-03-19 |
| Last Update Date | 2013-01-14 |