| NPI | 1366610602 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZANNE LEE MANCHERIAN Owner 323-937-6903 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0131X Podiatrist Foot Surgery (Licence: CA E4429) |
| Enumeration Date | 2008-02-20 |
| Last Update Date | 2008-02-20 |