| NPI | 1164714275 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DMITRIY ROMANENKO President 323-240-1938 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A94512) |
| Enumeration Date | 2011-05-08 |
| Last Update Date | 2011-05-08 |