| NPI | 1215393715 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAYNA LE Office Manager 916-333-9557 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: CA E4060) |
| Enumeration Date | 2016-01-13 |
| Last Update Date | 2023-05-01 |