| NPI | 1235478991 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEAN O MILAM Clinic Director 714-731-9355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine |
| Additional Taxonomies | 111NR0400X |
| Enumeration Date | 2013-01-31 |
| Last Update Date | 2013-01-31 |