NPI | 1396929758 |
---|---|
Entity Type | Organization |
Authorized Contact | SAM SANANDAJI Podiatrist 818-789-7891 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP1100X Clinic/Center, Podiatric (Licence: CA E4652) |
Enumeration Date | 2007-12-20 |
Last Update Date | 2007-12-20 |