| NPI | 1922584747 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAVEL MOLDAVSKIY Owner 661-664-2300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: CA A128600) |
| Enumeration Date | 2018-07-15 |
| Last Update Date | 2018-07-15 |