| NPI | 1104027481 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLIVE M SEGIL CEO 310-203-5490 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: CA A26735) |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2020-08-22 |