| NPI | 1922139757 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSE MARIE RIVERA Director Of Billing Operations 805-577-8730 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: CA G85170) |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2020-08-22 |