| NPI | 1487648697 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT E. ADAMS Owner 805-481-0881 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: CA 40580) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA 0600250001) |
| Enumeration Date | 2005-09-01 |
| Last Update Date | 2015-06-01 |