| NPI | 1811779655 |
|---|---|
| Other Name | JIG PODIATRY, INC |
| Entity Type | Organization |
| Authorized Contact | JACOB IRVING GREEN President 818-442-4642 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Enumeration Date | 2023-10-17 |
| Last Update Date | 2025-09-02 |