| NPI | 1821598004 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN LUKE BERTHELSEN President 760-463-9155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: CA E5190) |
| Enumeration Date | 2018-02-14 |
| Last Update Date | 2018-10-25 |