| NPI | 1699082586 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY M STARRY Owner 951-296-6676 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: CA 20A9171) |
| Enumeration Date | 2010-09-13 |
| Last Update Date | 2012-09-19 |