| NPI | 1801991963 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TORIN CUNNINGHAM President 562-933-0249 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XP3100X Orthopaedic Surgery Pediatric Orthopaedic Surgery (Licence: CA A70356) |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: CA A70356) |
| 207XS0117X Orthopaedic Surgery Orthopaedic Surgery of the Spine (Licence: CA A70356) | |
| 207XX0004X Orthopaedic Surgery Foot and Ankle Surgery (Licence: CA A70356) | |
| 207XX0005X Orthopaedic Surgery Sports Medicine (Licence: CA A70356) | |
| 207XX0801X Orthopaedic Surgery Orthopaedic Trauma (Licence: CA A70356) | |
| 2080P0006X Pediatrics Developmental - Behavioral Pediatrics (Licence: CA A70356) | |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2011-04-18 |