NPI | 1235333972 |
---|---|
Entity Type | Organization |
Authorized Contact | GABRIEL J HALPERIN C.O.O 323-264-6157 |
Organization Subpart ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: CA PA18760) |
Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: CA E2446) |
Enumeration Date | 2007-06-14 |
Last Update Date | 2021-02-23 |