| NPI | 1295773257 |
|---|---|
| Doing Business As | NONE |
| Entity Type | Organization |
| Authorized Contact | FERNANDO RAVESSOUD CFO 562-595-5424 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2008-12-18 |