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 |