| NPI | 1366448763 |
|---|---|
| Other Name | ORTHOPAEDICS SPECIALIST |
| Entity Type | Organization |
| Authorized Contact | MELANIE MCCRACKEN Administrator 310-543-2521 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Enumeration Date | 2005-06-22 |
| Last Update Date | 2009-03-02 |