| NPI | 1891124954 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYLE J. REBER President 760-625-1650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: CA G68674) |
| Enumeration Date | 2013-11-08 |
| Last Update Date | 2013-11-08 |