| NPI | 1104817238 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEAN FOLKERTH Office Manager 760-726-2500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: CA C30651) |
| Enumeration Date | 2005-10-28 |
| Last Update Date | 2015-10-13 |