| NPI | 1619299179 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTIANNE TIEMANN Member 714-698-1270 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) | |
| 208VP0000X Pain Medicine Pain Medicine | |
| Enumeration Date | 2010-02-24 |
| Last Update Date | 2018-03-27 |