| NPI | 1427061993 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE ALEX KONKIN Owner President 209-571-5071 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CA G24534) |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2014-10-17 |