| NPI | 1154518801 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC J KLOSTERMANN President 310-792-3914 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP1100X Clinic/Center Podiatric (Licence: CA E1993) |
| Enumeration Date | 2007-09-26 |
| Last Update Date | 2016-10-21 |