NPI | 1003652124 |
---|---|
Entity Type | Organization |
Authorized Contact | KASEIN GONZALEZ Medical Director 949-939-6873 |
Organization Subpart ? | No |
Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology |
Enumeration Date | 2024-07-08 |
Last Update Date | 2025-06-11 |