| NPI | 1871514554 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA L PASQUINELLI Provider Enrollment COO Rdinator 650-498-5710 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2020-08-22 |