| NPI | 1285933713 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GUILLERMO TISBE MANTUANO Owner/President 559-740-4094 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A30125) |
| Enumeration Date | 2011-03-23 |
| Last Update Date | 2011-06-02 |