| NPI | 1700967239 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGG T. POTTORFF CEO 510-886-8844 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CA G61064) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2015-06-09 |