| NPI | 1295193357 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAZIN KHATEEB Owner 951-383-3886 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: CA C56111) |
| Additional Taxonomies | 202K00000X Phlebology |
| Enumeration Date | 2016-02-04 |
| Last Update Date | 2016-02-04 |