| NPI | 1972086882 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAFUTAGA TAGALOA-TULIFAU Medical Director 562-925-3055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: CA E4193) |
| Enumeration Date | 2018-09-07 |
| Last Update Date | 2018-09-07 |