| NPI | 1164453494 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN J. PORTER President/Owner 559-781-4711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2019-07-23 |