| NPI | 1699185850 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHAN LUCAS President, CEO 310-412-0183 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP1100X Clinic/Center, Podiatric (Licence: CA E4965) |
| Enumeration Date | 2014-04-28 |
| Last Update Date | 2014-04-28 |