| NPI | 1225738495 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANA QURESHI CEO 949-812-2785 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 208C00000X Colon & Rectal Surgery |
| Enumeration Date | 2023-03-07 |
| Last Update Date | 2023-03-07 |