| NPI | 1700225315 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERVIN SHAMTOUB President 818-416-2919 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: CA E4734) |
| Enumeration Date | 2013-06-17 |
| Last Update Date | 2020-05-21 |