| NPI | 1679522288 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW SAFAPOUR Owner 818-986-9898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: CA E4050) |
| Additional Taxonomies | 261QP1100X Clinic/Center, Podiatric |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2023-08-21 |