| NPI | 1265602254 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL A. AVAKIAN Doctor Of Podiatric Medicine 626-398-4069 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: CA E3953) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA E3953) |
| Enumeration Date | 2008-03-05 |
| Last Update Date | 2010-05-19 |