| NPI | 1912102161 |
|---|---|
| Doing Business As | UC REGENTS SURGERY LASER UNIVERSITY PHY |
| Entity Type | Organization |
| Authorized Contact | JOHN S NELSON Medical Director 949-824-7526 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2008-07-11 |