| NPI | 1750722088 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BABAK BARAVARIAN Partner 310-828-0011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: CA E3692) |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: CA E3692) |
| 213ES0131X Podiatrist, Foot Surgery (Licence: CA E3692) | |
| Enumeration Date | 2013-07-15 |
| Last Update Date | 2013-07-15 |