| NPI | 1043781040 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAYA C SPAETH CEO 951-222-4748 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2082S0105X Plastic Surgery Surgery of the Hand |
| Additional Taxonomies | 208200000X Plastic Surgery |
| 2251H1200X Physical Therapist Hand | |
| Enumeration Date | 2018-12-17 |
| Last Update Date | 2023-06-23 |