| NPI | 1144047507 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINOD KUMAR President 661-204-2222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist |
| Additional Taxonomies | 163WW0000X Registered Nurse Wound Care |
| 2086S0122X Surgery Plastic and Reconstructive Surgery | |
| 261QP1100X Clinic/Center Podiatric | |
| Enumeration Date | 2024-09-25 |
| Last Update Date | 2025-04-17 |