| NPI | 1265386262 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JIMMY LAM Office Manager 949-992-8818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist |
| Additional Taxonomies | 208D00000X General Practice |
| Enumeration Date | 2026-02-25 |
| Last Update Date | 2026-02-25 |