| NPI | 1205418241 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANKURPREET S GILL Owner 510-325-9315 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP1100X Clinic/Center, Podiatric |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 335E00000X Prosthetic/Orthotic Supplier | |
| Enumeration Date | 2021-04-27 |
| Last Update Date | 2022-09-12 |