| NPI | 1467624882 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NOREEN OSWELL Owner 310-360-0001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: CA E3441) |
| Enumeration Date | 2008-03-26 |
| Last Update Date | 2022-03-22 |