NPI | 1316681323 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRISTOPHER AYODELE OTIKO President 818-836-2475 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2022-04-25 |
Last Update Date | 2022-04-25 |