| NPI | 1457596629 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT MORRIS TAYLOR President/Owner 510-238-9600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CA A42745) |
| Additional Taxonomies | 207XX0005X Orthopaedic Surgery Sports Medicine (Licence: CA A42745) |
| 207XX0801X Orthopaedic Surgery Orthopaedic Trauma (Licence: CA A42745) | |
| Enumeration Date | 2008-12-02 |
| Last Update Date | 2015-05-04 |