| NPI | 1134246317 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE HAGADORN Owner 949-753-0601 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: CA G71549) |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2010-04-22 |