| NPI | 1255847638 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMIRA MEHRIZI President/Owner 310-877-9114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP1100X Clinic/Center, Podiatric (Licence: CA E5081) |
| Enumeration Date | 2017-12-20 |
| Last Update Date | 2024-03-04 |