Registry details
Type
Organization
Primary specialty
Orthopaedic Surgery
Enumerated
Apr 7, 2021
License(s)
—
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | PO BOX 888794 | Los Angeles, CA 90088-8794 | |
| LOCATION | 23 N MAIN ST STE 201 | Angels Camp, CA 95222-9365 | 209-536-5774 |
Watch this provider
Get a webhook/email the day this provider is added to the OIG-LEIE exclusion list or appears in an FDA enforcement action.