| NPI | 1457735383 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | BABAK BARAVARIAN Partner 310-828-0011  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: CA E4186)  | 
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: CA E3141)  | 
| Enumeration Date | 2015-07-09 | 
| Last Update Date | 2015-12-14 |