| NPI | 1043657141 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL S SHIN President 619-258-6200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207PE0005X Emergency Medicine, Undersea and Hyperbaric Medicine (Licence: HI 15588) |
| Additional Taxonomies | 208600000X Surgery (Licence: HI 15588) |
| Enumeration Date | 2013-05-29 |
| Last Update Date | 2022-08-17 |