| NPI | 1730419243 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM L VAN DER REIS President 949-661-2423 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CA G81476) |
| Enumeration Date | 2010-01-05 |
| Last Update Date | 2010-04-27 |