| NPI | 1417286980 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN I. WATANABE President / Owner 949-770-9300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: CA G83423) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA G83423) |
| Enumeration Date | 2009-12-13 |
| Last Update Date | 2013-04-08 |