NPI | 1750560942 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID DARDASHTI Podiatrist 310-652-3668 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP1100X Clinic/Center, Podiatric (Licence: CA E4653) |
Enumeration Date | 2007-10-24 |
Last Update Date | 2024-04-02 |