| NPI | 1659562866 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARI ANNE MADSEN President 310-854-3580 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: CA A92144) |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2007-08-05 |