| NPI | 1225465388 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARISSA JOY FARRIS President/Owner 408-356-3777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CA A104802) |
| Enumeration Date | 2013-10-03 |
| Last Update Date | 2013-12-10 |