| NPI | 1477622587 |
|---|---|
| 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 |