| NPI | 1154667095 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA MARIE DIAZ President 949-574-9709 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A51213) |
| Enumeration Date | 2012-12-21 |
| Last Update Date | 2012-12-21 |