| NPI | 1750818860 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACOB FLORES Chief Medical Officer 760-721-4000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery Sports Medicine |
| Enumeration Date | 2017-05-19 |
| Last Update Date | 2017-05-19 |