| NPI | 1154399301 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARRETT J TALLMAN CEO 760-633-4700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CA G84239) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA PA16333) |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2008-07-31 |