| NPI | 1366630840 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARNOLD GIDAYA ROXAS President 310-715-7855 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: CA E3995) |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: CA E3995) |
| Enumeration Date | 2007-10-09 |
| Last Update Date | 2021-04-07 |