| NPI | 1174552855 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NEIL D RUDO Owner 559-436-0871 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: CA G32385) |
| Additional Taxonomies | 2085R0001X (Licence: CA G77558) |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2008-11-21 |