| NPI | 1174039333 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEWIS WYATT JR. President 310-360-7430 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA 00C320300) |
| Enumeration Date | 2017-12-22 |
| Last Update Date | 2018-06-16 |