| NPI | 1659838373 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARISOL SCHANIEL Office Manager 805-948-6348 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine |
| Enumeration Date | 2019-02-28 |
| Last Update Date | 2025-06-17 |