| NPI | 1881030112 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM T LONG Physician 323-913-4300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: CA G060239) |
| Enumeration Date | 2013-05-14 |
| Last Update Date | 2020-10-13 |