| NPI | 1518144989 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD ARTHUR ROSENBERG Owner 562-633-5881 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment (Licence: CA E2466) |
| Enumeration Date | 2008-01-28 |
| Last Update Date | 2021-02-05 |