| NPI | 1851328744 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAN DAVID TEPPER Owner 909-920-0884 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: CA E2154) |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2011-04-05 |