| NPI | 1760550735 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID G. LITTLE Owner 310-283-4449 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: CA E3767) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA E3767) |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2020-11-12 |