| NPI | 1205192010 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MITCHELL KOICHI TAGUCHI President/ Owner 310-792-3914 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A65921) |
| Enumeration Date | 2012-04-05 |
| Last Update Date | 2012-04-05 |