| NPI | 1265808406 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN VITALI President/CFO 310-709-3349 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0114X Orthopaedic Surgery Adult Reconstructive Orthopaedic Surgery |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery |
| 207XP3100X Orthopaedic Surgery Pediatric Orthopaedic Surgery | |
| 207XS0106X Orthopaedic Surgery Hand Surgery | |
| 207XX0004X Orthopaedic Surgery Foot and Ankle Surgery | |
| 207XX0005X Orthopaedic Surgery Sports Medicine | |
| 207XX0801X Orthopaedic Surgery Orthopaedic Trauma | |
| Enumeration Date | 2015-08-11 |
| Last Update Date | 2015-08-11 |