| NPI | 1356525737 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH JAMES WILKENS President 949-364-2154 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: CA C3069768) |
| Enumeration Date | 2007-12-20 |
| Last Update Date | 2011-02-09 |