NPI | 1003573999 |
---|---|
Entity Type | Organization |
Authorized Contact | PAT BYRNES Practice Administrator 949-615-9065 |
Organization Subpart ? | No |
Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery |
Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
Enumeration Date | 2021-11-26 |
Last Update Date | 2021-11-26 |