| NPI | 1851522254 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER SANG-WOOK PARK Podiatrist/CEO 323-732-7551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP1100X Clinic/Center, Podiatric (Licence: CA E4031) |
| Enumeration Date | 2009-08-03 |
| Last Update Date | 2020-03-28 |