| NPI | 1376315465 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMMAD REZA AHMADINIA Owner 949-382-4939 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery |
| Enumeration Date | 2023-10-23 |
| Last Update Date | 2023-10-23 |