| NPI | 1053618835 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRET POWERS President 951-270-0882 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: CA 20A9577) |
| Enumeration Date | 2011-02-14 |
| Last Update Date | 2011-02-14 |