| NPI | 1679878565 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW THIO Medical Director 951-788-2001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: CA E19640) |
| Enumeration Date | 2011-01-24 |
| Last Update Date | 2011-04-26 |