| NPI | 1699236752 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOMINIC J. TEDESCO Owner 805-340-4861 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| Enumeration Date | 2019-03-29 |
| Last Update Date | 2019-03-29 |