| NPI | 1912085069 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | QUINN MARTIN FAURIA Owner 818-623-4455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: CA BUS0301512) |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2022-09-02 |