| NPI | 1619194446 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES E ANANIAN Authorized Official 323-264-6157 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2026-07-28 |