| NPI | 1780705566 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADLEY A GREENBAUM Business Owner 949-451-1454 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2022-02-25 |