| NPI | 1235529140 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUAN DE LA RIVA President 916-778-6311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine |
| 207LP3000X Anesthesiology, Pediatric Anesthesiology | |
| Enumeration Date | 2015-01-29 |
| Last Update Date | 2015-01-29 |