| NPI | 1649795642 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAN BRITTON Business Administrator 951-698-4660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine |
| Enumeration Date | 2017-08-10 |
| Last Update Date | 2018-12-21 |