| NPI | 1659917078 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER LYNN WOODWARD Physician Assistant 805-434-5555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery |
| Enumeration Date | 2019-11-20 |
| Last Update Date | 2021-01-25 |