| NPI | 1982982492 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SOHAIL S AHMAD President/Owner 760-340-1003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery Sports Medicine |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery |
| Enumeration Date | 2011-08-01 |
| Last Update Date | 2014-03-31 |