| NPI | 1407956899 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VENESSA L GRIFFIN Business Office Manager 661-327-8538 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery Vascular Surgery |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2012-04-10 |