| NPI | 1801112172 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMBER JORDAN Office Facilitator 626-357-9931 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CA G43156) |
| Enumeration Date | 2010-04-12 |
| Last Update Date | 2010-04-12 |