| NPI | 1720220064 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN ALBERT AMBROSINO President/Owner 925-827-9966 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: CA E002827) |
| Enumeration Date | 2009-04-01 |
| Last Update Date | 2009-04-01 |