NPI | 1386756930 |
---|---|
Entity Type | Organization |
Authorized Contact | PAMELA D. DAVIS Owner/CEO 949-413-3541 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA G46258) |
Additional Taxonomies | 208D00000X General Practice (Licence: CA G46258) |
Enumeration Date | 2006-08-31 |
Last Update Date | 2019-10-10 |