| NPI | 1861623589 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL FARKAS Owner 323-467-0927 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: CA E2843) |
| Additional Taxonomies | 213E00000X Podiatrist |
| 213EP1101X Podiatrist, Primary Podiatric Medicine | |
| Enumeration Date | 2009-07-29 |
| Last Update Date | 2009-07-29 |