| NPI | 1568762953 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAIL KATHLEEN HEASLET Corporate Secretary 949-651-1202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: CA E2056) |
| Enumeration Date | 2010-11-01 |
| Last Update Date | 2010-11-01 |