| NPI | 1720329311 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER N CRESPO Physician Assistant 619-549-3284 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: CA PA21046) |
| Enumeration Date | 2013-03-07 |
| Last Update Date | 2013-05-08 |