| NPI | 1285770529 |
|---|---|
| Doing Business As | MODESTO HEART SURGERY |
| Entity Type | Organization |
| Authorized Contact | LIT K FUNG President 209-572-4222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: CA G59878) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2023-09-06 |