| NPI | 1124556733 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANY MILLED DONIS Administrator 626-349-4898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: CA G32316) |
| Enumeration Date | 2017-05-25 |
| Last Update Date | 2022-07-21 |