| NPI | 1396927208 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN G ELLIS President 951-296-6676 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: CA G70713) |
| Enumeration Date | 2007-12-03 |
| Last Update Date | 2014-02-20 |