NPI | 1265464820 |
---|---|
Entity Type | Organization |
Authorized Contact | ANDREW R LANGROUDI CEO 805-988-3338 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: CA e4469) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2006-07-06 |
Last Update Date | 2017-10-25 |