| NPI | 1477395184 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZANNE HAWTHORN Managing Member 714-234-6728 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2024-06-12 |
| Last Update Date | 2024-06-12 |