| NPI | 1922421171 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD ERIC GLOUSMAN President 714-313-1454 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 207XX0005X Orthopaedic Surgery, Sports Medicine |
| Enumeration Date | 2014-01-23 |
| Last Update Date | 2024-08-20 |