| NPI | 1083899959 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACY ISARA Billing Manager 310-260-9807 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA C39333) |
| Enumeration Date | 2008-01-09 |
| Last Update Date | 2008-01-09 |