225200000X
San Carlos, CA
Specialty
225200000X
Credential
PTA
NPI
1578344636
301 Industrial Rd, San Carlos, CA 94070
(650) 596-4200Confirm current license and practice information on the official CMS NPI registry.
View NPI RecordThis surgeon specializes in 225200000x procedures performed in an outpatient ambulatory surgical setting.
NUCC Taxonomy: 225200000X