Organization
NOVIS FOOT COMFORT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAESAR LUA (CEO)
(626) 796-4971
Entity
Organization
Contact information
Practice address
1836 E COLORADO BLVD, PASADENA, CA 91107-3544
(626) 796-4971
Mailing address
1836 E COLORADO BLVD, PASADENA, CA 91107-3544
(626) 796-4971
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
09/27/2010
Last updated
09/29/2010
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