NPI | 1598847196 |
---|---|
Entity Type | Organization |
Authorized Contact | EILEEN L HAWORTH Secretary 310-451-8045 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: CA E01822) |
Additional Taxonomies | 261QP1100X Clinic/Center, Podiatric |
Enumeration Date | 2006-10-20 |
Last Update Date | 2023-12-08 |