| NPI | 1619166220 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA M BREUNER CEO 925-416-0990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: CA E3559) |
| Enumeration Date | 2007-10-19 |
| Last Update Date | 2007-10-19 |