| NPI | 1902800543 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DELGASH DOSKY COO 949-644-5800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology Pain Medicine (Licence: CA G53385) |
| Additional Taxonomies | 207LP2900X Anesthesiology Pain Medicine |
| 363A00000X Physician Assistant | |
| 363AM0700X Physician Assistant Medical (Licence: CA Q34724) | |
| 363AM0700X Physician Assistant Medical (Licence: CA PA65976) | |
| 363AS0400X Physician Assistant Surgical | |
| Enumeration Date | 2005-06-10 |
| Last Update Date | 2023-04-26 |