| NPI | 1487103784 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KYLA ESCOBEDO Billing Manager 619-746-6530 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CA A107847) |
| Enumeration Date | 2016-09-27 |
| Last Update Date | 2016-09-27 |