| NPI | 1700339918 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUIS JOSEPH NAVAZO President 760-591-9975 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Enumeration Date | 2016-07-25 |
| Last Update Date | 2016-07-25 |