| NPI | 1912360140 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK J WITT Owner/Provider 760-728-4800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP1100X Clinic/Center, Podiatric (Licence: CA E3032) |
| Enumeration Date | 2016-04-04 |
| Last Update Date | 2016-04-04 |