| NPI | 1578810339 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN T NASSOS Owner/President 310-273-2731 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine |
| Enumeration Date | 2012-08-12 |
| Last Update Date | 2014-07-07 |