| NPI | 1518141951 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAM SANANDAJI Podiatrist 310-657-2828 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP1100X Clinic/Center, Podiatric (Licence: CA E4652) |
| Enumeration Date | 2007-12-20 |
| Last Update Date | 2007-12-20 |