| NPI | 1902091028 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE M. CARPENTER President 714-565-0166 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086X0206X Surgery Surgical Oncology (Licence: CA G58755) |
| Enumeration Date | 2007-09-11 |
| Last Update Date | 2016-03-10 |