| NPI | 1770725145 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARRYL A WILLOUGHBY Sole Proprietor 310-968-6012 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CA A54030) |
| Enumeration Date | 2009-04-01 |
| Last Update Date | 2009-04-01 |