| NPI | 1558504241 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN D STOCKARD President 714-892-0992 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: CA E4255) |
| Enumeration Date | 2009-04-11 |
| Last Update Date | 2015-01-12 |