| NPI | 1407860844 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM CAMPBELL WALLACE President 949-457-7900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2014-10-21 |