| NPI | 1730661620 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EBRAM ABDELMALAK Owner 310-343-0820 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: CA 5416) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: CA 5416) |
| Enumeration Date | 2018-09-06 |
| Last Update Date | 2023-07-14 |