NPI | 1104864131 |
---|---|
Doing Business As | COASTALORTHO |
Entity Type | Organization |
Authorized Contact | DIANA A AMEZOLA Billing Manager 310-316-6190 |
Organization Subpart ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CA 22653) |
Enumeration Date | 2006-06-03 |
Last Update Date | 2020-07-23 |