| NPI | 1598996134 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL J. MARCUS Physician 323-724-6663 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 213E00000X Podiatrist |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2009-07-30 |
| Last Update Date | 2017-04-05 |