| NPI | 1184800989 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | RICHARD FELISE SANTORE President 858-278-8300  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery | 
| Additional Taxonomies | 207X00000X Orthopaedic Surgery | 
| Enumeration Date | 2008-01-11 | 
| Last Update Date | 2014-08-04 |