| NPI | 1861832008 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA R MODLIN Doctor 661-836-8154 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: CA e4960) |
| Enumeration Date | 2013-07-02 |
| Last Update Date | 2013-09-23 |