| NPI | 1659647733 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BONNIE GONCE Billing Manager 925-790-0760 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CA G46464) |
| Enumeration Date | 2012-03-22 |
| Last Update Date | 2012-03-22 |