| NPI | 1396807046 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BOBBY POURZIAEE President 310-441-0088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: CA E4339) |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2022-12-06 |