| NPI | 1689912610 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD W. PETERS President 949-383-4182 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: CA G88762) |
| Enumeration Date | 2013-01-25 |
| Last Update Date | 2019-11-13 |