| NPI | 1073726543 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICE FRAUSTO Owner 818-242-3445 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: CA G41454) |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2020-08-22 |