| NPI | 1760142244 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIEZLE AREVALO President 310-792-3914 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Additional Taxonomies | 207L00000X Anesthesiology |
| Enumeration Date | 2021-12-23 |
| Last Update Date | 2022-01-06 |