| NPI | 1811137482 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEKSANDR A REZNICHENKO Physician /Owner 559-589-9460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: CA A100964) |
| Enumeration Date | 2009-02-23 |
| Last Update Date | 2009-02-23 |