| NPI | 1386195618 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAIL CELIA SALGANICK-ERFANI Owner 619-393-2925 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: CA A100016) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA A100016) |
| Enumeration Date | 2016-10-21 |
| Last Update Date | 2022-05-02 |