| NPI | 1366614141 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY BOGHOSSIAN Owner 661-726-3338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: CA E4323) |
| Enumeration Date | 2008-04-01 |
| Last Update Date | 2008-06-23 |