| NPI | 1073052023 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES H KIMBER Physician Assistant 858-513-1833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: CA PA17397) |
| Enumeration Date | 2017-02-22 |
| Last Update Date | 2017-02-22 |