| NPI | 1003691692 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER ROELANDS President 714-272-3477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty |
| Enumeration Date | 2023-08-30 |
| Last Update Date | 2024-06-20 |