| NPI | 1790112654 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER OTIKO General Partner 818-836-2475 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: CA E4159) |
| Enumeration Date | 2013-10-08 |
| Last Update Date | 2013-10-08 |