NPI | 1780805424 |
---|---|
Entity Type | Organization |
Authorized Contact | LOUIS MATTHEW KWONG Doctor 310-399-5480 |
Organization Subpart ? | No |
Primary Taxonomy | 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: CA G55440) |
Enumeration Date | 2007-05-01 |
Last Update Date | 2014-09-29 |