| NPI | 1740622232 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK M MIKHAEL President 818-841-3936 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: CA A105078) |
| Enumeration Date | 2013-07-24 |
| Last Update Date | 2016-06-20 |