| NPI | 1639463417 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANILO R MANIMTIM Direct Owner 559-435-4168 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CA A36441) |
| Enumeration Date | 2011-06-08 |
| Last Update Date | 2016-10-25 |