| NPI | 1982432506 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY HALPERIN CFO 323-264-7796 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Enumeration Date | 2024-07-24 |
| Last Update Date | 2024-08-27 |