| NPI | 1194819532 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HENRY CUEVAS FLORES Incorporator 707-433-8844 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: CA 68721) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2020-08-22 |