| NPI | 1568772820 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARLENE JO FAHMIE Provider 510-526-4266 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0131X Podiatrist Foot Surgery (Licence: CA E3401) |
| Enumeration Date | 2010-10-20 |
| Last Update Date | 2012-04-04 |