| NPI | 1295237022 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN C. MAYBERRY President 858-565-0104 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: CA G151173) |
| Enumeration Date | 2018-03-07 |
| Last Update Date | 2018-03-22 |