| NPI | 1033463898 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER SCOTT BORDEN Owner 310-375-8700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: CA A62201) |
| Enumeration Date | 2012-11-01 |
| Last Update Date | 2012-11-01 |