NPI | 1043457344 |
---|---|
Entity Type | Organization |
Authorized Contact | KRISTY EUMONT Physician Assistant Certified 310-205-3107 |
Organization Subpart ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: CA PA17337) |
Enumeration Date | 2009-01-08 |
Last Update Date | 2009-01-08 |