| NPI | 1003918996 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIMON LAVI Owner 562-803-0600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CA 20A7777) |
| Additional Taxonomies | 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: CA 20A7777) |
| 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: CA 20A7777) | |
| 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: CA 20A7777) | |
| Enumeration Date | 2006-09-02 |
| Last Update Date | 2020-08-22 |