| NPI | 1760833685 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCIA ANN MATIKA Doctor 310-318-2900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP1100X Clinic/Center, Podiatric (Licence: CA E3497) |
| Enumeration Date | 2016-06-22 |
| Last Update Date | 2016-06-22 |