| NPI | 1114446226 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAMED JAFARY Podiatrist 909-297-8389 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: FL po3878) |
| Enumeration Date | 2017-09-11 |
| Last Update Date | 2018-08-13 |