| 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 Podiatrist Foot Surgery (Licence: CA E3256) | |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2020-02-27 |