| NPI | 1922942812 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY LUAN Owner 408-621-5095 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery |
| Additional Taxonomies | 208600000X Surgery |
| Enumeration Date | 2026-04-20 |
| Last Update Date | 2026-04-20 |