| NPI | 1629268826 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHANTE S BUNTIN CEO 831-251-1338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A76678) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: CA A76678) |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2012-04-26 |