| NPI | 1568608222 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THAN VAN TRUONG Podiatrist 310-675-0900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA E4636) |
| Enumeration Date | 2008-12-31 |
| Last Update Date | 2008-12-31 |