| NPI | 1609994482 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMI SROUR Owner 661-664-2612 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CA G24567) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA G24567) |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2008-09-30 |