| NPI | 1912528928 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEILA OSTOVER-KERMANI Owner 415-898-4828 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist |
| Additional Taxonomies | 261QP1100X Clinic/Center, Podiatric |
| Enumeration Date | 2020-04-30 |
| Last Update Date | 2023-08-30 |