| NPI | 1174949945 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID BOWEN CEO/Surgeon 760-837-7200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: CA A60193) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA A60193) |
| Enumeration Date | 2014-03-17 |
| Last Update Date | 2016-03-11 |