| NPI | 1639102833 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN IAN BENNETT President 714-888-6860 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: CA E4301) |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2018-03-19 |