| NPI | 1477627537 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JED SHIVERS COO 415-476-4003 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: CA 220000091) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: CA 220000091) |
| 2086S0120X Surgery, Pediatric Surgery (Licence: CA 220000091) | |
| 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: CA 220000091) | |
| 2086S0129X Surgery, Vascular Surgery (Licence: CA 220000091) | |
| 2086X0206X Surgery, Surgical Oncology (Licence: CA 220000091) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: CA 220000091) | |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2019-02-14 |