| NPI | 1679131189 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN FRANK Medical Director / Owner 310-968-6576 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
| Additional Taxonomies | 261QP1100X Clinic/Center, Podiatric |
| Enumeration Date | 2019-05-30 |
| Last Update Date | 2023-07-21 |