| NPI | 1720385214 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SALLY T PHAM President 925-455-1555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: CA E4685) |
| Enumeration Date | 2011-02-17 |
| Last Update Date | 2015-01-07 |