| NPI | 1881120004 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELCHIOR P VALLONE Director 619-465-3200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: CA E2201) |
| Enumeration Date | 2017-05-08 |
| Last Update Date | 2017-05-08 |