| NPI | 1134783020 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JARYD STEIN Owner/ Chief Executive Director 213-392-4976 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 213ES0103X Podiatrist Foot & Ankle Surgery |
| Enumeration Date | 2019-04-25 |
| Last Update Date | 2024-02-27 |