| NPI | 1548588270 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN L ETCHEVERRY President/Owner 818-901-6600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA E4099) |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: CA E4099) |
| Enumeration Date | 2010-05-05 |
| Last Update Date | 2011-06-13 |