| NPI | 1013196195 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIANE R DEYOUNG Administrator 323-660-7575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CA G28022) |
| Enumeration Date | 2007-10-25 |
| Last Update Date | 2020-06-23 |