NPI | 1649700816 |
---|---|
Doing Business As | CHANNEL ISLANDS ORTHOPEDIC MEDICAL GROUP |
Doing Business As | DOWNEY ORTHOPEDIC MEDICAL GROUP |
Entity Type | Organization |
Authorized Contact | RANDOLPH TAYLOR Risk Manager 909-967-3442 |
Organization Subpart ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery |
Enumeration Date | 2017-06-19 |
Last Update Date | 2022-07-21 |