| NPI | 1649646282 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | INEZ WONDEH COO 925-378-4512 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 207XX0005X Orthopaedic Surgery Sports Medicine |
| Enumeration Date | 2015-08-18 |
| Last Update Date | 2023-10-18 |