| NPI | 1164827887 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROY J CAPUTO Owner 714-403-2483 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CA G57575) |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: CA G57575) |
| Enumeration Date | 2014-10-23 |
| Last Update Date | 2014-10-23 |