NPI | 1083973994 |
---|---|
Entity Type | Organization |
Authorized Contact | RHIAROSE M MAGBITANG Owner 858-361-1441 |
Organization Subpart ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: CA PA 22186) |
Enumeration Date | 2012-05-11 |
Last Update Date | 2012-12-21 |