| NPI | 1780649954 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA CAROL GREER Registered Nurse Office Manager 760-745-2273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: CA G12042) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: CA A22600) |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2009-12-03 |