| NPI | 1639036775 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CODIE FIKE Administration 949-988-7888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine |
| Enumeration Date | 2026-01-09 |
| Last Update Date | 2026-01-09 |