| NPI | 1114295417 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA MACER President/ Owner 310-541-8400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA G67152) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA G42123) |
| Enumeration Date | 2011-12-01 |
| Last Update Date | 2014-08-12 |