| NPI | 1104038587 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE E. VAN DAM President 858-587-0700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: CA G35628) |
| Enumeration Date | 2007-05-05 |
| Last Update Date | 2020-08-22 |