| NPI | 1619166428 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL J HARRIS Owner 310-251-5656 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: CA A87121) |
| Enumeration Date | 2007-10-17 |
| Last Update Date | 2013-08-28 |