| NPI | 1033285820 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL JAIME PORTER President 323-469-7133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A22916) |
| Enumeration Date | 2006-11-26 |
| Last Update Date | 2007-07-16 |