| NPI | 1801177753 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWN A REIMER Credentialing 949-294-0692 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CA A96320) |
| Enumeration Date | 2011-09-06 |
| Last Update Date | 2011-09-06 |