| NPI | 1982121331 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL VERA President 323-208-2035 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 95000305) |
| Enumeration Date | 2017-08-26 |
| Last Update Date | 2022-07-21 |