Registry details
Type
Individual
Primary specialty
Orthopaedic Surgery, Sports Medicine
Enumerated
Sep 27, 2005
License(s)
G58923 (CA), G58923 (CA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 800 S RAYMOND AVE | Pasadena, CA 91105-3229 | 626-795-8051 |
| MAILING | PO BOX 90730 | Pasadena, CA 91109-0730 | 626-795-8051 |
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