| NPI | 1053501320 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERENCE J MCDONNELL President 510-841-1266 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: CA C326600) |
| Enumeration Date | 2007-08-01 |
| Last Update Date | 2016-10-13 |