| NPI | 1245539592 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM SIMPSON Owner 760-775-1400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: CA G43101) |
| Enumeration Date | 2011-03-24 |
| Last Update Date | 2011-03-24 |