| NPI | 1992044358 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BABAK BARAVARIAN Owner 310-282-0011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: CA E4928) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: CA E4186) |
| 213E00000X Podiatrist (Licence: CA E3141) | |
| Enumeration Date | 2013-02-05 |
| Last Update Date | 2013-05-16 |