| NPI | 1649654062 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREG P FONTANA President 310-721-2285 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| Enumeration Date | 2015-07-15 |
| Last Update Date | 2015-07-15 |