| NPI | 1558335752 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARVOTHAM K REDDY President 909-626-6636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: CA A47769) |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2020-08-22 |