| NPI | 1396819850 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES M LODDENGAARD President 310-316-6190 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: CA G40119) |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2020-08-22 |