| NPI | 1487804522 |
|---|---|
| Doing Business As | ORTHOPEDIC SURGICAL PRACTICE |
| Entity Type | Organization |
| Authorized Contact | VICTOR ANDREW TACCONELLI Owner 805-967-9311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CA G27913) |
| Enumeration Date | 2008-09-25 |
| Last Update Date | 2011-09-12 |