| NPI | 1346299211 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES C LILLEY President 909-593-7437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CA a45892) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA G61462) |
| 207X00000X Orthopaedic Surgery (Licence: CA C28115) | |
| 207X00000X Orthopaedic Surgery (Licence: CA a100701) | |
| 207X00000X Orthopaedic Surgery (Licence: CA G81061) | |
| 207X00000X Orthopaedic Surgery (Licence: CA A107276) | |
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: CA g81163) | |
| 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: CA A95445) | |
| 363A00000X Physician Assistant (Licence: CA PA17960) | |
| 363A00000X Physician Assistant (Licence: CO PA18213) | |
| 363A00000X Physician Assistant (Licence: CA PA21328) | |
| 363A00000X Physician Assistant (Licence: CA PA20743) | |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2020-02-07 |