NPI | 1508914235 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL ALAN MATTES President Owner Practitoner 818-789-3668 |
Organization Subpart ? | No |
Primary Taxonomy | 213E00000X Podiatrist (Licence: CA e3418) |
Enumeration Date | 2007-01-08 |
Last Update Date | 2020-11-13 |