| NPI | 1174542229 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLORIA QUEVEDO Manager 310-385-8030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2020-08-22 |