| NPI | 1720158488 | 
|---|---|
| Doing Business As | ADVANCED ORTHOPEDICS A SPORT MEDICAL GROUP | 
| Entity Type | Organization | 
| Authorized Contact | KEVIN PELTON President / Owner 818-788-0101  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 207X00000X Orthopaedic Surgery | 
| Enumeration Date | 2006-11-09 | 
| Last Update Date | 2016-01-05 |