| NPI | 1124380688 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AZAR DASTGAH President 408-358-2250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: CA E4916) |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: CA E4988) |
| Enumeration Date | 2012-06-11 |
| Last Update Date | 2013-02-27 |