| NPI | 1972785889 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WADE FAERBER President 951-296-6676 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: CA 20A6291) |
| Enumeration Date | 2007-12-03 |
| Last Update Date | 2007-12-03 |