| NPI | 1295430528 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK JADALI CEO 562-285-7372 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP1100X Clinic/Center, Podiatric |
| Additional Taxonomies | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2023-04-04 |
| Last Update Date | 2023-09-28 |