| NPI | 1316388291 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK J MCGAHAN President 916-995-5683 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery Sports Medicine (Licence: CA A104904) |
| Enumeration Date | 2013-07-08 |
| Last Update Date | 2013-07-08 |