NPI | 1225734981 |
---|---|
Doing Business As | ANCOVA |
Entity Type | Organization |
Authorized Contact | ANTONIO JAVIER COVARRUBIAS Surgeon 949-356-8811 |
Organization Subpart ? | No |
Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery |
Additional Taxonomies | 208600000X Surgery |
261QM1300X Clinic/Center, Multi-Specialty | |
Enumeration Date | 2023-02-03 |
Last Update Date | 2023-02-03 |