| NPI | 1205673456 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLOS GUTIERREZ Owner 949-202-7634 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine |
| Additional Taxonomies | 207XX0005X Orthopaedic Surgery, Sports Medicine |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2024-07-12 |
| Last Update Date | 2024-07-17 |