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 |