| NPI | 1386520138 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEAN H LEE President 818-983-8758 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine |
| Additional Taxonomies | 261QP1100X Clinic/Center, Podiatric |
| Enumeration Date | 2025-08-14 |
| Last Update Date | 2025-08-14 |