| NPI | 1598247991 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAVEL V PETRIK CEO 661-522-3256 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: CA A74861) |
| Enumeration Date | 2018-08-31 |
| Last Update Date | 2021-12-09 |