| NPI | 1366944274 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PENNIE LEANN TELARROJA Management 424-220-4400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CA G83591) |
| Enumeration Date | 2018-03-07 |
| Last Update Date | 2018-03-07 |