| NPI | 1881913960 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FLORENCIO A MEDINA Owner 408-984-2455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WR0006X Registered Nurse, Registered Nurse First Assistant |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical |
| Enumeration Date | 2010-05-27 |
| Last Update Date | 2019-10-16 |