| NPI | 1649608167 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY NGUYEN Owner 213-252-1985 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CA BR784451) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CA DC27942) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: CA A76500) | |
| Enumeration Date | 2013-10-18 |
| Last Update Date | 2015-07-20 |