| NPI | 1497644009 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYAN KATZ Podiatrist, Chief Executive Officer 909-702-3422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP1100X Clinic/Center, Podiatric |
| Enumeration Date | 2025-06-30 |
| Last Update Date | 2025-06-30 |