| NPI | 1316126618 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORIS YADEGARIAN Sole Proprietor 818-988-6880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: CA E4376) |
| Enumeration Date | 2007-11-02 |
| Last Update Date | 2008-05-09 |