| NPI | 1962769729 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YVONNE DELP Office Adminstator 949-732-0303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A107041) |
| 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: CA A92732) | |
| 208VP0000X Pain Medicine, Pain Medicine (Licence: CA A107041) | |
| Enumeration Date | 2012-04-18 |
| Last Update Date | 2012-04-18 |