| NPI | 1215452297 |
|---|---|
| Former Legal Business Name | ADVANCED INTERVENTIONAL SURGICAL CENTER LLC |
| Entity Type | Organization |
| Authorized Contact | ASHIT JAIN Authorized Official 510-714-1879 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology |
| Enumeration Date | 2017-08-10 |
| Last Update Date | 2018-11-15 |