| NPI | 1790175156 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANI SUZANNE WALKER Administrator 714-540-7202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CA G43101) |
| Enumeration Date | 2015-01-23 |
| Last Update Date | 2015-01-23 |