NPI | 1538174016 |
---|---|
Entity Type | Organization |
Authorized Contact | ARA KELEKIAN Owner 323-270-0295 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: CA e4536) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA e4536) |
335E00000X Prosthetic/Orthotic Supplier (Licence: CA e4536) | |
Enumeration Date | 2006-07-31 |
Last Update Date | 2012-12-18 |