| NPI | 1871043224 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOU LAZATIN Administrator 213-388-3151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XP3100X Orthopaedic Surgery Pediatric Orthopaedic Surgery |
| Enumeration Date | 2016-10-10 |
| Last Update Date | 2016-10-10 |