| NPI | 1942735568 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FADY ELIAS Medical Director 760-946-5177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CA A86043) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: CA A137960) |
| 207X00000X Orthopaedic Surgery (Licence: CA A122000) | |
| 208VP0000X Pain Medicine, Pain Medicine (Licence: CA A130159) | |
| Enumeration Date | 2017-04-21 |
| Last Update Date | 2017-04-21 |