| 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 |