| NPI | 1619690872 |
|---|---|
| Doing Business As | DR. NIETO - FOOT AND ANKLE CLINIC |
| Entity Type | Organization |
| Authorized Contact | RUBEN A NIETO President/CEO 310-997-6555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP1100X Clinic/Center, Podiatric |
| Enumeration Date | 2022-09-22 |
| Last Update Date | 2023-01-31 |