| NPI | 1568640571 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDY CASTANEDA Administrator 562-803-6116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2008-02-01 |
| Last Update Date | 2016-02-19 |