| NPI | 1114686862 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVELYN LEW Hr/Administrator 909-777-8888 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology |
| Enumeration Date | 2021-12-09 |
| Last Update Date | 2021-12-09 |