| NPI | 1285723254 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NORMAN DAVID REYES CEO 916-733-6840 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: CA A40111) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2013-01-29 |