| NPI | 1205036928 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CECIL REYES Director Officer 562-708-9729 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: CA PA16338) |
| Enumeration Date | 2007-07-20 |
| Last Update Date | 2008-10-02 |