| NPI | 1982711206 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT SIMON PETER FAN CEO 805-966-6085 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery Sports Medicine (Licence: CA G810210) |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2020-08-22 |