| NPI | 1235313123 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZANNE LEE MANCHERIAN President 323-937-6903 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0131X Podiatrist Foot Surgery (Licence: CA E4429) |
| Enumeration Date | 2007-12-27 |
| Last Update Date | 2021-09-02 |