| NPI | 1164839619 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID J LISS President 310-645-3338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: CA E5120) |
| Enumeration Date | 2014-07-16 |
| Last Update Date | 2022-08-02 |