| NPI | 1902055866 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN C. K. LAU President 323-987-1362 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: CA E3598) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA E3598) |
| Enumeration Date | 2008-09-16 |
| Last Update Date | 2017-08-10 |