| NPI | 1841889961 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER MOCKRIDGE Billing And Credentialing 949-388-5027 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery |
| Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology |
| Enumeration Date | 2021-01-13 |
| Last Update Date | 2021-01-28 |