| NPI | 1760832851 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE D LEVINE President 310-548-1191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Additional Taxonomies | 213E00000X Podiatrist |
| Enumeration Date | 2016-06-20 |
| Last Update Date | 2016-06-20 |