| NPI | 1922534445 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SYDNEY PARDINO Owner 760-360-6784 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery Sports Medicine (Licence: CA A116351) |
| Enumeration Date | 2017-05-03 |
| Last Update Date | 2017-05-03 |