Registry details
Type
Individual
Primary specialty
Orthopaedic Surgery
Enumerated
Jun 9, 2020
License(s)
4301508914 (MI), A201177 (CA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | FILE 57326 | Los Angeles, CA 90074-7326 | 800-926-8273 |
| LOCATION | 9400 CAMPUS POINT DR | La Jolla, CA 92093-3330 | 800-926-8273 |
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