| NPI | 1477638468 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD I KUZYK Podiatrist 805-584-3510 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: CA e3256) |
| Additional Taxonomies | 213EP0504X Podiatrist, Public Medicine (Licence: CA e3256) |
| 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: CA e3256) | |
| 213ER0200X Podiatrist, Radiology (Licence: CA e3256) | |
| 213ES0000X Podiatrist, Sports Medicine (Licence: CA e3256) | |
| 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: CA e3256) | |
| 213ES0131X (Licence: CA e3256) | |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2020-02-27 |