| NPI | 1487837043 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIV BUNLEUTH Billing Manager 562-234-3174 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: CA E4250) |
| Enumeration Date | 2007-12-06 |
| Last Update Date | 2020-03-19 |