| NPI | 1578756979 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEISURE YU Authorized Offical 909-214-2105 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CA G62381) |
| Enumeration Date | 2007-08-20 |
| Last Update Date | 2017-12-11 |