| NPI | 1336407964 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICARDO G CACDAC Owner 760-779-1828 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: CA A525730) |
| Additional Taxonomies | 208C00000X Colon & Rectal Surgery (Licence: CA A525730) |
| Enumeration Date | 2012-05-02 |
| Last Update Date | 2012-05-02 |