| 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 |