| NPI | 1972790863 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THUY THI-THANH NGUYEN Office Manager 661-387-8333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery Vascular Surgery (Licence: CA A74562) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA A74562) |
| Enumeration Date | 2007-09-25 |
| Last Update Date | 2023-03-07 |