| NPI | 1538488242 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEANNA LOVE Manager 951-870-0657 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: CA A63406) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA A63406) |
| 2086S0102X Surgery, Surgical Critical Care (Licence: CA A63406) | |
| Enumeration Date | 2010-05-19 |
| Last Update Date | 2025-06-10 |