| NPI | 1124353107 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FELICIA ANN OTA President 818-708-1090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A65703) |
| Enumeration Date | 2009-10-09 |
| Last Update Date | 2014-11-19 |