| NPI | 1538218672 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIZA LOGAN Chief Operating Officer 818-993-2542 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery Orthopaedic Surgery of the Spine (Licence: CA G68053) |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2012-01-23 |