| NPI | 1275550154 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT MICHAEL FAY President 760-485-7402 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CA A68720) |
| Additional Taxonomies | 204C00000X Neuromusculoskeletal Medicine, Sports Medicine (Licence: CA A68720) |
| 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: CA A68720) | |
| 207T00000X Neurological Surgery (Licence: CA A68720) | |
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: CA A68720) | |
| 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: CA A68720) | |
| 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: CA A68720) | |
| 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: CA A68720) | |
| 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: CA A68720) | |
| 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: CA A68720) | |
| 208200000X Plastic Surgery (Licence: CA A68720) | |
| 2082S0099X Plastic Surgery, Plastic Surgery Within the Head and Neck (Licence: CA A68720) | |
| 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: CA A68720) | |
| 2086S0102X Surgery, Surgical Critical Care (Licence: CA A68720) | |
| 2086S0105X Surgery, Surgery of the Hand (Licence: CA A68720) | |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2013-06-17 |