| NPI | 1154106516 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE ANN CARPENTIERI Director 510-399-0221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Additional Taxonomies | 213E00000X Podiatrist |
| Enumeration Date | 2023-08-25 |
| Last Update Date | 2023-08-25 |