| NPI | 1093042970 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULUS LIEM SANTOSO CEO 951-530-8989 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: CA A85478) |
| Enumeration Date | 2009-11-12 |
| Last Update Date | 2016-03-04 |