| NPI | 1316249188 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RALPH A HIGHSHAW President 951-509-9000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: CA A56419) |
| Additional Taxonomies | 208800000X Urology (Licence: CA A75800) |
| 363AS0400X Physician Assistant, Surgical (Licence: CA PA20089) | |
| Enumeration Date | 2010-11-29 |
| Last Update Date | 2013-01-22 |