NPI | 1154834190 |
---|---|
Doing Business As | COASTALORTHO |
Entity Type | Organization |
Authorized Contact | CARRIE KILLEN Practice Administrative 310-316-6190 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207X00000X Orthopaedic Surgery |
Enumeration Date | 2017-11-13 |
Last Update Date | 2020-07-15 |