| NPI | 1609133511 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD S HARRIS President 949-221-0136 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery Vascular Surgery (Licence: CA A105121) |
| Enumeration Date | 2012-04-16 |
| Last Update Date | 2012-04-16 |