| NPI | 1447003314 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY HALPERIN Chief Operating Officer 213-309-9528 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Enumeration Date | 2024-04-09 |
| Last Update Date | 2024-04-09 |