| NPI | 1730647074 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLEN SHIN Legal General Counsel 310-943-4500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery |
| Enumeration Date | 2019-03-06 |
| Last Update Date | 2019-03-06 |