| NPI | 1811201908 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIA ZEETSER Authorized Official 818-259-3859 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: OH 36003288) |
| Enumeration Date | 2010-07-30 |
| Last Update Date | 2025-08-20 |