| NPI | 1952673725 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT RADIN Officer 562-490-7278 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: CA G73590) |
| Enumeration Date | 2012-02-08 |
| Last Update Date | 2012-02-08 |