| NPI | 1043571599 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS TUAN TONG LEE Medical Director 909-625-0615 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: CA A37294) |
| Additional Taxonomies | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: CA A37294) |
| 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine | |
| 208600000X Surgery (Licence: CA A37294) | |
| Enumeration Date | 2012-05-31 |
| Last Update Date | 2012-06-01 |