| NPI | 1689066581 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINTHIA HERNANDEZ Medical Assistant 818-784-8420 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: CA E4452) |
| Enumeration Date | 2015-03-02 |
| Last Update Date | 2019-06-19 |