| NPI | 1366221350 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA PATRICIA ELENES Rcm Manager 916-382-0653 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2023-09-27 |
| Last Update Date | 2024-12-31 |