| 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 |