| NPI | 1700095015 |
|---|---|
| Doing Business As | THE FOOT CLINIC, PODIATRY GROUP |
| Entity Type | Organization |
| Authorized Contact | DALE ROGER MASCARI Owner 323-255-1441 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: CA E1915) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2008-07-09 |