| NPI | 1982946687 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD G JAN President 916-288-5055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: CA G22975) |
| Enumeration Date | 2013-03-20 |
| Last Update Date | 2013-03-20 |