| NPI | 1740498112 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD B DOERING Owner/President 949-631-6002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: CA A28899) |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2014-03-26 |