NPI | 1740622562 |
---|---|
Entity Type | Organization |
Authorized Contact | QUY V LE Provider 714-861-4560 |
Organization Subpart ? | No |
Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: CA A100948) |
Additional Taxonomies | 208600000X Surgery (Licence: CA A100948) |
Enumeration Date | 2013-07-22 |
Last Update Date | 2014-10-09 |