| NPI | 1518724905 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTOR YANEZ Owner 209-956-7732 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine |
| Enumeration Date | 2024-03-01 |
| Last Update Date | 2024-05-08 |