| NPI | 1750539672 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADLEY THOMAS President 310-546-3461 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 207XX0005X Orthopaedic Surgery, Sports Medicine |
| Enumeration Date | 2008-09-04 |
| Last Update Date | 2023-01-27 |