| NPI | 1114114881 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACK J DRUET Medical Director 951-506-9536 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: CA G70999) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA G70999) |
| Enumeration Date | 2007-09-26 |
| Last Update Date | 2023-03-07 |