| NPI | 1649786617 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | POOYA LASHKARI Owner 551-697-4214 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: CA E5383) |
| Enumeration Date | 2017-12-28 |
| Last Update Date | 2023-06-13 |