| NPI | 1750551719 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZAHER AZZAWI Dr/Owner 909-483-8361 |
| Organization Subpart ? | No |
| Primary Taxonomy | 146N00000X Emergency Medical Technician, Basic (Licence: CA A48743) |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: CA A51994) |
| Enumeration Date | 2008-03-06 |
| Last Update Date | 2021-04-07 |