| NPI | 1164739637 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA MOELLMER President 310-766-0200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: CA E4602) |
| Enumeration Date | 2010-09-07 |
| Last Update Date | 2010-09-07 |