| NPI | 1942483862 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BABAK BARAVARIAN Owner 310-828-0011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: CA E4186) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: CA E4729) |
| Enumeration Date | 2007-12-13 |
| Last Update Date | 2008-07-22 |