| NPI | 1346653797 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SYDNEY PARDINO Owner/Provider 760-340-6784 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: CA A116351) |
| Enumeration Date | 2014-06-03 |
| Last Update Date | 2023-03-07 |