| NPI | 1639439805 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL NICHOLAS WILSON Owner/ President 310-792-3914 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA 615-07-2225) |
| Enumeration Date | 2012-05-22 |
| Last Update Date | 2012-06-05 |