| NPI | 1811202740 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS RAY VECCHIONE Surgeon 619-297-4433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA C30357) |
| Enumeration Date | 2010-08-16 |
| Last Update Date | 2015-12-06 |