NPI | 1134303878 |
---|---|
Entity Type | Organization |
Authorized Contact | MATTHEW LEFFERMAN Medical Director 310-356-8146 |
Organization Subpart ? | No |
Primary Taxonomy | 213E00000X Podiatrist |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA 20A8857) |
Enumeration Date | 2007-12-18 |
Last Update Date | 2007-12-18 |