| NPI | 1861693913 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GABRIEL E. SOTO President 530-273-2525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery Sports Medicine (Licence: CA A74943) |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2020-08-22 |