| NPI | 1659537835 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LILY KRASTEIN Administrator 805-433-7507 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery Vascular Surgery (Licence: CA G83840) |
| Enumeration Date | 2008-08-06 |
| Last Update Date | 2008-08-06 |