| NPI | 1336386416 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRINA JOHNSON Office Manager 510-594-9411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CA A55666) |
| Enumeration Date | 2009-01-12 |
| Last Update Date | 2009-01-12 |