| NPI | 1780108381 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL JAROSLAV STASTNY President 714-334-5795 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: CA E5216) |
| Enumeration Date | 2017-07-26 |
| Last Update Date | 2023-11-02 |