| NPI | 1790262590 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK LEVINE President 818-450-6656 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: CA A5360) |
| Enumeration Date | 2018-07-24 |
| Last Update Date | 2020-06-04 |