| NPI | 1851518880 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH JAMES WILKENS President 949-364-2154 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: CA A80116) |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2007-07-26 |