| NPI | 1922724608 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA HAIDER Pdm/Owner 949-209-9590 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Additional Taxonomies | 213E00000X Podiatrist |
| Enumeration Date | 2022-10-14 |
| Last Update Date | 2022-10-14 |