| NPI | 1548139736 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DHWANI SRIVASTAVA Sole Mbr 661-279-1691 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2025-11-04 |
| Last Update Date | 2025-11-04 |