| NPI | 1487315214 |
|---|---|
| Doing Business As | MATTHEW GARGULINSKI |
| Entity Type | Organization |
| Authorized Contact | JAN BRITTON Administrator 951-698-4660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Enumeration Date | 2022-01-04 |
| Last Update Date | 2022-04-05 |