| NPI | 1144464215 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VERNON E. REYES Manager 661-547-3114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: TX 1765) |
| Enumeration Date | 2009-04-20 |
| Last Update Date | 2009-04-20 |