| NPI | 1184899213 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH LANHAM Office Mgr 818-981-3344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: CA E1951) |
| Enumeration Date | 2008-04-29 |
| Last Update Date | 2023-10-26 |