| NPI | 1881290104 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTIANE M LE-MAHON Physician Assistant 408-202-5064 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical |
| Enumeration Date | 2020-12-10 |
| Last Update Date | 2021-01-18 |