| NPI | 1699831248 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FREDERICK C. ARBENZ Owner 760-740-0707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QS0010X Family Medicine Sports Medicine (Licence: CA G55316) |
| Additional Taxonomies | 207XX0005X Orthopaedic Surgery Sports Medicine (Licence: CA G85673) |
| 207XX0005X Orthopaedic Surgery Sports Medicine (Licence: CA G61858) | |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2020-08-22 |