| NPI | 1952064222 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICARDO PEVERINI President 909-651-5582 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2021-10-14 |
| Last Update Date | 2021-10-14 |