| NPI | 1033959929 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSELINE MARIE DAUPHIN President/CEO 818-397-5407 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology Gynecology |
| Additional Taxonomies | 261QM2500X Clinic/Center Medical Specialty |
| 202D00000X | |
| 207VF0040X Obstetrics & Gynecology Female Pelvic Medicine and Reconstructive Surgery | |
| Enumeration Date | 2024-05-29 |
| Last Update Date | 2024-06-10 |