| NPI | 1811136161 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY BARELA Office Manager 530-541-4119 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NV 6292) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA G60029) |
| Enumeration Date | 2009-02-10 |
| Last Update Date | 2019-01-17 |