| NPI | 1912081662 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JIM F MALONE Owner 661-832-6300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: CA E2282) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2020-08-22 |