NPI | 1134456627 |
---|---|
Entity Type | Organization |
Authorized Contact | MOSES T MUKAI President 760-946-5177 |
Organization Subpart ? | No |
Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: CA 20A5527) |
Additional Taxonomies | 208800000X Urology (Licence: CA 20A5527) |
Enumeration Date | 2009-11-04 |
Last Update Date | 2010-03-30 |