| NPI | 1336669456 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADLEY M THOMAS Medical Director 310-546-3461 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine |
| Enumeration Date | 2017-06-20 |
| Last Update Date | 2017-06-20 |