| NPI | 1922465087 |
|---|---|
| Former Legal Business Name | PACIFIC SURGICAL LLC |
| Entity Type | Organization |
| Authorized Contact | BRIAN EUGENE WHATLEY CEO/Principle Owner 916-548-1880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA KH102259891) |
| Enumeration Date | 2016-01-20 |
| Last Update Date | 2016-01-20 |