| NPI | 1639125362 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA ANNE MENESES Office Manager 650-755-3338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2009-12-02 |