| NPI | 1700250578 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KANAKAVALLI IYER President/Physician 805-907-9561 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A56234) |
| Enumeration Date | 2015-11-17 |
| Last Update Date | 2016-06-08 |