| NPI | 1619012804 |
|---|---|
| Doing Business As | ENCINO PODIATRY GROUP |
| Entity Type | Organization |
| Authorized Contact | JEFFREY DAVID GOSS President 818-995-3039 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP1100X Clinic/Center, Podiatric (Licence: CA E2510) |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2008-07-18 |