| NPI | 1851498133 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELICA MARIA REYES Office Manager 714-879-2410 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: CA G59971) |
| Additional Taxonomies | 208800000X Urology (Licence: CA A79874) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2020-09-15 |