| NPI | 1881411254 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINOD KUMAR President 661-204-2222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist |
| Additional Taxonomies | 163WW0000X Registered Nurse Wound Care |
| 2086S0122X Surgery Plastic and Reconstructive Surgery | |
| Enumeration Date | 2024-09-25 |
| Last Update Date | 2024-09-25 |