| NPI | 1518972967 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VLADIMIR ZEETSER President 818-907-6100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: CA E4504) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA 5418910001) |
| 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: CA 5418910001) | |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2018-05-10 |