| NPI | 1023401585 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY AUGUST HARTSHORN Owner 310-546-3461 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CA A107628) |
| Enumeration Date | 2015-03-09 |
| Last Update Date | 2015-03-09 |