| NPI | 1942322060 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD A GABRIEL General 310-423-9788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: CA G56204) |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2020-08-22 |