| NPI | 1912133166 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SRIDHARA K S IYENGAR Owner 714-549-1294 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: CA C42391) |
| Enumeration Date | 2009-06-02 |
| Last Update Date | 2009-06-02 |