| NPI | 1447784012 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMMED AHMEDUDDIN Podiatrist 310-591-0090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213EP1101X Podiatrist Primary Podiatric Medicine (Licence: IN 07001095A) |
| Enumeration Date | 2017-04-20 |
| Last Update Date | 2017-04-20 |