| NPI | 1831956481 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANE HILLARY COX Credentialing Specialist 949-664-2796 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Enumeration Date | 2024-02-29 |
| Last Update Date | 2024-02-29 |