| NPI | 1124161229 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL C TIVNON President Owner 661-663-7600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CA A24851) |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2020-08-22 |