| NPI | 1780782060 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY ROGERS Md 310-316-6190 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: CA A70813) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2020-08-22 |