| NPI | 1275578916 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANNE FORLAW Office Manager 805-642-0128 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: CA G47926) |
| Additional Taxonomies | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: CA G50864) |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2020-08-22 |