| NPI | 1013212349 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE L. BOJORQUEZ Office Manager 626-652-0790 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA G46446) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A31300) |
| Enumeration Date | 2011-01-18 |
| Last Update Date | 2011-01-18 |