| NPI | 1457567570 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK T KIDON President 626-799-1194 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: CA E3196) |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2018-05-08 |