NPI | 1568829901 |
---|---|
Entity Type | Organization |
Authorized Contact | DAYNA LE Office Manager 916-333-9557 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: CA E4060) |
Enumeration Date | 2016-01-15 |
Last Update Date | 2016-01-15 |