| NPI | 1154873362 |
|---|---|
| Doing Business As | DESERT VEIN CLINIC ASC |
| Entity Type | Organization |
| Authorized Contact | TED YOSHIO FISHER MD CEO & President 619-905-1164 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA A052523) |
| Enumeration Date | 2016-11-04 |
| Last Update Date | 2016-11-04 |