| NPI | 1407913981 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN ELDREDGE FOW President 805-473-0700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CA A78523) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA 5816010001) |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2011-02-11 |