| NPI | 1457499725 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY JAY TELES President And Owner 310-326-0202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0131X Podiatrist, Foot Surgery (Licence: CA E2898) |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2013-09-24 |