| NPI | 1598069809 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRETCHEN M. BERGQUIST Office Manager 714-813-4464 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: CA G57315) |
| Enumeration Date | 2010-12-29 |
| Last Update Date | 2023-09-06 |