| NPI | 1902081193 |
|---|---|
| Other Name | CENTURY PARK EAST FOOT AND ANKLE CENTER |
| Entity Type | Organization |
| Authorized Contact | MARK R. WEISS Owner 310-553-7371 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: CA E1442) |
| Enumeration Date | 2008-01-07 |
| Last Update Date | 2008-06-20 |