| NPI | 1215763164 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES MACIEL President & CEO 714-458-4617 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 208D00000X General Practice |
| Enumeration Date | 2024-09-09 |
| Last Update Date | 2025-05-15 |