| NPI | 1538506910 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLARK B FULLER President 310-854-0909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| Enumeration Date | 2013-05-26 |
| Last Update Date | 2013-05-26 |