| NPI | 1043616600 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | INEZ WONDEH CEO 925-948-8143 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CA A42343) |
| Additional Taxonomies | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: CA A42343) |
| Enumeration Date | 2014-11-10 |
| Last Update Date | 2021-03-25 |