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 |