| NPI | 1275131856 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAI-EN PENG Owner 805-482-0711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Additional Taxonomies | 261QP1100X Clinic/Center, Podiatric |
| Enumeration Date | 2020-10-15 |
| Last Update Date | 2020-10-15 |