NPI | 1154469278 |
---|---|
Entity Type | Organization |
Authorized Contact | ELLIOTT SHERREL Owner 714-441-0411 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A36984) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA A36984) |
Enumeration Date | 2007-02-01 |
Last Update Date | 2007-12-20 |