| NPI | 1194934331 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILIP A RADOVIC Owner 949-493-8020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: CA E3515) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2025-06-24 |