| NPI | 1174630149 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BABAK BARAVARIAN Partner Podiatry 310-828-0011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: CA E4186) |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: CA E4431) |
| 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: CA E3141) | |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2008-02-26 |