| NPI | 1275608937 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY SWALLEY Business Office Manager 951-274-3446 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 208100000X Physical Medicine & Rehabilitation | |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2017-05-22 |