| NPI | 1982103123 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER P STRAUSER CEO 510-521-2568 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: CA E5102) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: CA E3387) |
| 213E00000X Podiatrist (Licence: CA E3305) | |
| Enumeration Date | 2018-02-02 |
| Last Update Date | 2018-03-17 |