| NPI | 1821041534 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BREANA WELLS Executive Director 916-965-4000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 207XX0005X Orthopaedic Surgery, Sports Medicine |
| 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma | |
| 213E00000X Podiatrist | |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2021-10-26 |