| NPI | 1821227463 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT KENNETH EASTLACK President/CEO 858-361-1390 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CA A73162) |
| Enumeration Date | 2009-07-03 |
| Last Update Date | 2009-07-03 |