| NPI | 1780874222 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAMSI MOHEIMANI Administrator 714-285-0014 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery Orthopaedic Surgery of the Spine (Licence: CA 316659) |
| Enumeration Date | 2007-07-31 |
| Last Update Date | 2023-01-18 |