| NPI | 1134668353 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT B WELLS CEO/President 559-228-5429 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 207L00000X Anesthesiology |
| 207Q00000X Family Medicine | |
| 207R00000X Internal Medicine | |
| 208100000X Physical Medicine & Rehabilitation | |
| 2081S0010X Physical Medicine & Rehabilitation Sports Medicine | |
| Enumeration Date | 2017-02-21 |
| Last Update Date | 2023-03-09 |