| NPI | 1801268651 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGEL M MORALES GONZALEZ Member/Manager/President 925-422-7346 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: TX N0289) |
| Additional Taxonomies | 208C00000X Colon & Rectal Surgery (Licence: TX N0289) |
| Enumeration Date | 2015-10-20 |
| Last Update Date | 2021-02-08 |