| NPI | 1174650279 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARC W WEISE President 805-773-2650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CA 2852009) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA 5684480001) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2012-05-15 |