| NPI | 1104846682 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DALE GENE PARKS Md/Owner 310-822-5066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA C35271) |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2010-07-13 |