NPI | 1922120971 |
---|---|
Former Legal Business Name | ALHAMBRA PODIATRY GROUP |
Entity Type | Organization |
Authorized Contact | PUTT C PETRULLI Owner 626-282-9950 |
Organization Subpart ? | No |
Primary Taxonomy | 213E00000X Podiatrist (Licence: CA E2492) |
Enumeration Date | 2007-04-03 |
Last Update Date | 2008-06-18 |