| NPI | 1568561165 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENDOLL CONCEPCION Owner 559-298-9032 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 2086X0206X Surgery, Surgical Oncology |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2007-07-12 |