| 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 |