| NPI | 1356462576 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALFREDO Y JOSE Owner 626-288-1373 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: CA A24476) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: CA A24476) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2012-05-09 |