| NPI | 1659549400 |
|---|---|
| Doing Business As | OLYMPIC ORTHOPEDIC MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | JOHN KAYVENFAR Owner 661-947-0078 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CA A36821) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A36821) |
| Enumeration Date | 2008-02-14 |
| Last Update Date | 2008-07-10 |