| NPI | 1508365743 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACOB MASON Owner 626-340-3354 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 95000611) |
| Enumeration Date | 2018-02-02 |
| Last Update Date | 2018-03-17 |