| NPI | 1295909265 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD VANDERHEYDEN President/Secretary 760-724-5560 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: CA E-3486) |
| Enumeration Date | 2008-04-21 |
| Last Update Date | 2008-04-21 |