| NPI | 1093006223 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIAMAK MILANCHI Dr. 949-429-0268 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: CA A92723) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA A92723) |
| Enumeration Date | 2011-04-21 |
| Last Update Date | 2012-10-22 |