| NPI | 1154495695 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLENN J HUBER President 310-316-6190 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: CA A65106) |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2020-08-22 |