| NPI | 1659541365 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM M COSTIGAN Managing Physcian 626-795-8051 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery Orthopaedic Surgery of the Spine |
| Enumeration Date | 2008-03-10 |
| Last Update Date | 2010-02-04 |