| NPI | 1215348461 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD CHARLES LAVIGNA Owner 510-463-3888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: CA E3779) |
| Enumeration Date | 2014-05-09 |
| Last Update Date | 2015-09-15 |