NPI | 1548507684 |
---|---|
Entity Type | Organization |
Authorized Contact | DEREK T DEE President 310-408-5345 |
Organization Subpart ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CA A65423) |
Additional Taxonomies | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: CA A65423) |
Enumeration Date | 2013-01-09 |
Last Update Date | 2013-01-09 |