| NPI | 1043303027 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN WITCZAK CEO President 949-348-2250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CA 20A4682) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2020-08-22 |