| NPI | 1639141153 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RALPH A GAMBARDELLA President 310-665-7235 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine |
| Enumeration Date | 2006-02-07 |
| Last Update Date | 2012-03-05 |