NPI | 1477622587 |
---|---|
Doing Business As | CROWN SURGERY MEDICAL GROUP |
Entity Type | Organization |
Authorized Contact | FETUS DADA President 951-973-7290 |
Organization Subpart ? | No |
Primary Taxonomy | 208600000X Surgery |
Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty |
Enumeration Date | 2006-11-06 |
Last Update Date | 2020-02-17 |