Organization
DAVID G. LITTLE D.P.M., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID G. LITTLE D.P.M. (OWNER)
(310) 283-4449
Entity
Organization
Contact information
Practice address
7768 3/4 SANTA MONICA BLVD, WEST HOLLYWOOD, CA 90046-6219
(310) 283-4449
(818) 230-9004
Mailing address
PO BOX 297, HERMOSA BEACH, CA 90254-0297
(310) 283-4449
(310) 337-7540
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E3767
CA
332B00000X
Durable Medical Equipment & Medical Supplies
E3767
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1760550735
—
CA
Enumeration date
11/30/2006
Last updated
11/12/2020
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