| NPI | 1639382369 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARL WAGREICH President 310-373-0521 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP1100X Clinic/Center, Podiatric (Licence: CA E2415) |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2009-10-30 |