| NPI | 1447306964 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL GODDARD Owner 949-833-3406 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: CA E1371) |
| Additional Taxonomies | 213E00000X Podiatrist |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2022-06-17 |