| NPI | 1265991699 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONES HORMOZI Owner 818-216-5554 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2019-03-15 |
| Last Update Date | 2019-03-15 |