| NPI | 1275040008 |
|---|---|
| Doing Business As | GM SURGICAL ASSISTANT INC |
| Entity Type | Organization |
| Authorized Contact | JENNIFER SEVILLA Billing Admin 909-346-0807 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: CA PA22985) |
| Enumeration Date | 2018-01-02 |
| Last Update Date | 2018-01-02 |