| NPI | 1316191455 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SOHAIL SHAWN SHAYFER Owner 818-981-3688 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CA G84464) |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: CA G84464) |
| 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment | |
| Enumeration Date | 2008-11-14 |
| Last Update Date | 2022-01-13 |