| NPI | 1669947800 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN CHARLES AUSTIN President 858-703-6964 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery |
| Enumeration Date | 2018-10-03 |
| Last Update Date | 2021-01-29 |