NPI | 1396253266 |
---|---|
Former Legal Business Name | SPINE CIN OF LOS ANGELES LLC |
Entity Type | Organization |
Authorized Contact | EDWARD LELAN HUTTON EADIE Director 615-733-2064 |
Organization Subpart ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery |
Additional Taxonomies | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine |
Enumeration Date | 2018-01-13 |
Last Update Date | 2020-02-13 |