| NPI | 1104222090 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTOR L GREENER President 559-674-3338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP1100X Clinic/Center, Podiatric (Licence: CA E3225) |
| Enumeration Date | 2014-11-05 |
| Last Update Date | 2014-11-05 |