| NPI | 1578219630 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA BOYD STAUFFER Owner 310-944-1912 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Additional Taxonomies | 261QP1100X Clinic/Center, Podiatric |
| Enumeration Date | 2022-02-28 |
| Last Update Date | 2022-02-28 |