| NPI | 1215230370 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HUMBERTO ROGELIO RAVELO President 562-427-4752 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: CA G42849) |
| Enumeration Date | 2010-12-13 |
| Last Update Date | 2010-12-13 |