| NPI | 1427094960 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROY J CAPUTO President 951-270-0882 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: CA G57575) |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2013-01-22 |