| NPI | 1952557878 |
|---|---|
| Doing Business As | TUSTIN PODIATRY CLINIC |
| Entity Type | Organization |
| Authorized Contact | CHARLES BAIK Director 714-832-7212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: CA E4583) |
| Enumeration Date | 2008-08-12 |
| Last Update Date | 2009-10-23 |