| NPI | 1184483414 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD SHIBLI AZAR CEO 213-537-2927 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP1100X Clinic/Center, Podiatric |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Enumeration Date | 2024-03-18 |
| Last Update Date | 2025-05-25 |