| NPI | 1992982144 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND MICHAEL SHAHEEN President/Owner 650-965-1909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: CA A63071) |
| Enumeration Date | 2008-01-29 |
| Last Update Date | 2012-05-01 |