| NPI | 1114321056 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SINIVA LYNNE KANEEN Provider 661-410-2942 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A82543) |
| Enumeration Date | 2014-10-21 |
| Last Update Date | 2017-12-15 |