| NPI | 1649782715 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FLOYD G SHON CEO 949-855-2772 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: CA G85470) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA G85470) |
| Enumeration Date | 2017-10-30 |
| Last Update Date | 2024-10-25 |