| NPI | 1679771703 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN JEFFREY PELTON Director 323-264-7600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 111N00000X Chiropractor |
| 171100000X Acupuncturist | |
| 207XS0106X Orthopaedic Surgery, Hand Surgery | |
| 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine | |
| 2082S0105X Plastic Surgery, Surgery of the Hand | |
| 213ES0103X Podiatrist, Foot & Ankle Surgery | |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2024-05-08 |