| NPI | 1871825802 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACKIE BARTON Owner 323-938-0511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: CA E4013) |
| Enumeration Date | 2010-02-01 |
| Last Update Date | 2010-02-01 |