| NPI | 1275244659 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDER REYZELMAN Regional Chief Medical Officer 415-292-0638 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Enumeration Date | 2022-12-07 |
| Last Update Date | 2024-06-26 |