| NPI | 1033405006 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH RODRIGUEZ Administrator 760-568-4330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: CA A50443) |
| Enumeration Date | 2011-06-28 |
| Last Update Date | 2011-09-07 |