NPI | 1245216738 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRISTOPHER AYODELE OTIKO President 818-836-2475 |
Organization Subpart ? | No |
Primary Taxonomy | 213E00000X Podiatrist (Licence: CA E41591) |
Enumeration Date | 2005-12-16 |
Last Update Date | 2022-06-14 |