| NPI | 1265727309 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN C FORSYTHE President 805-952-5723 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: CA A96098) |
| Enumeration Date | 2011-06-16 |
| Last Update Date | 2022-07-21 |